Position Overview
Description We are looking for a skilled Medical Collections Specialist to join our team in Sacramento, California. This Contract to potential permanent position offers the opportunity to work in an engaging and fast-paced environment where attention to detail and strong communication skills are essential. The role focuses on managing medical claims, resolving discrepancies, and ensuring timely reimbursements, with the possibility of long-term placement based on performance.
Responsibilities:
β’ Review and interpret contracts to identify allowed amounts and ensure proper claim adjudication.
β’ Analyze Explanation of Benefits (EOBs) to verify payment accuracy and patient liability.
β’ Communicate effectively with insurance companies to dispute denied or underpaid claims, ensuring resolution.
β’ Provide clear explanations to patients regarding their balances, claim outcomes, and financial responsibilities.
β’ Draft compelling appeals to challenge claim denials and secu...