<p>A Hospital in Los Angeles is seeking a Medical Collections Specialist with experience in credit balances. The Medical Collections Specialist must be successful with investigating, tracking, and resolving denied medical insurance claims. The Medical Collections Specialist must have 2 years medical billing and medical insurance collections experience,</p><p><br></p><p>Responsibilities:</p><p><br></p><p>1. Investigating and resolving denied claims from various insurance providers.</p><p>2. Reviewing credit balances and denials management. </p><p>3. Conduct thorough and detailed review of patient bills, insurance benefits, and medical records to identify discrepancies and ensure proper billing.</p><p>4. Follow up on outstanding claim denials and secure reimbursement where possible.</p><p>5. Liaise with insurance companies, healthcare providers, and patients to rectify claims denials and resolve discrepancies.</p><p>6. Responsible for identifying patterns and trends in claim denials and propose solutions for reducing denial rates.</p><p>7. Submit appeals and reconsideration requests to insurance companies for denied claims.</p><p>8. Strong understanding of HMO and PPO. </p>
