Now Hiring - Medicus Management - Professional Services Insurance Collection and AR agent in Irvine, CA

Full description of the position

Key Responsibilities: Insurance Collections & AR Follow-Up * Review aging reports to identify unpaid or underpaid claims. * Contact insurance companies via phone, portal, or written correspondence to resolve outstanding claims. * Follow up on denied or rejected claims and take corrective action (appeals, resubmissions, corrections). * Track claim status until full payment is received. * Escalate complex claims to supervisors when necessary. Patient Collections * Reach out to patients regarding outstanding balances in a professional and empathetic manner. * Set up payment arrangements or explain billing statements. * Document patient communications and payment commitments. Denial Management * Investigate reasons for claim denials or partial payments. * Correct claim errors and resubmit timely. * File appeals with insurance carriers as needed. * Collaborate with the billing/coding team to prevent recurring denials. Documentation & Reporting * Maintain accurate and detailed notes of all collection activities. * Update patient accounts and AR records in the billing system. * Generate and review AR and collection reports for management. * Meet monthly collection goals and performance metrics. Compliance & Customer Service * Ensure all collection activities comply with HIPAA and healthcare regulations. * Maintain professionalism and confidentiality in patient/insurance interactions. * Provide excellent customer service to patients and insurance representatives. Skills & Qualifications * Knowledge of medical billing, coding (ICD-10, CPT, HCPCS), and insurance guidelines. * Experience with claim follow-up, AR management, and denial resolution. * Strong communication and negotiation skills. * Ability to analyze EOBs (Explanation of Benefits) and remittance advice. * Proficiency with billing software and electronic health record (EHR) systems. * Attention to detail, persistence, and time management skills. Performance Metrics (KPIs) * AR days outstanding (reduce aging over 90/120 days). * Percentage of claims collected. * Denial overturn rate. * Collection call volume and productivity. * Patient satisfaction in billing interactions. Job Type: Full-time Pay: $60,000.00 - $75,000.00 per year Benefits: * Flexible schedule * Health insurance * Paid time off * Vision insurance Work Location: In person