Helpmates

Company in the Cerritos area is looking for someone who has experience with Medical Reimbursement Payment, Accounts Receivable, Collections.  Job Title: Medical Reimbursement Representative - Payment Integrity/Refund I  Pay Rate: $26.00  Hours: 8:00am - 5:00pm Temp-to-Hire Position  Major Duties: 

• Assures Billing processes are compliant with payer requirement for Government Commerical Health Plans and Medical Group payers 
• Escalate credits to Level II Payment Integrity/Refund Representative, Sr. Payment Integrity /Refund 
• Analyze and rectify claims issues with payers by timely follow up of correspondence/refund letters received from payers
• Reviews and assures claims are processed and paid in full according to contractual agreements 
• Ensures revenue is booked according to approximate contract allowable 
• Handles calls regarding refund requests promptly with professionalism  to payers 
• Protect patient health information by following regulations for HIPPA compliance 

Education: 

• High School Diploma or equivalent education 
• Candidate must be experienced with a minimum of 1 year or greater (not including  school or externship ) 
• Candidate must be a self-starter and motivated to research and resolve issues 
• Strong understanding of insurance terms, medical terminology, pricing  methodologies for commercial and government billing requirement 
• Medicare knowledge 
• Microsoft Word and Excel 

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