Opportunity Description
Description We are looking for a Medical Collections Specialist to join a healthcare team in Sacramento, California. This contract-to-permanent opportunity is ideal for someone who brings strong experience in insurance follow-up, denial resolution, and patient balance discussions within a high-volume revenue cycle environment. The role is onsite and focuses on reviewing claim outcomes, pursuing reimbursement, and helping ensure accounts are resolved accurately and efficiently.
Responsibilities:
• Review payer contracts and reimbursement terms to determine correct allowed amounts and identify underpayments.
• Interpret Explanation of Benefits statements to evaluate claim decisions and confirm financial responsibility.
• Investigate denied, delayed, or partially paid claims and take appropriate action to secure proper reimbursement.
• Prepare clear, persuasive appeals that address payer findings and support claim reconsideration.
• Communicate with insurance carri...
Responsibilities:
• Review payer contracts and reimbursement terms to determine correct allowed amounts and identify underpayments.
• Interpret Explanation of Benefits statements to evaluate claim decisions and confirm financial responsibility.
• Investigate denied, delayed, or partially paid claims and take appropriate action to secure proper reimbursement.
• Prepare clear, persuasive appeals that address payer findings and support claim reconsideration.
• Communicate with insurance carri...
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