Description
A hospital in Los Angeles is seeking an experienced Managed Care Billing Specialist to join its revenue cycle team. This Managed Care Billing Specialist will focus on insurance follow-up and collections for HMO and PPO payers, with an emphasis on resolving outstanding balances, researching claim issues, and securing timely reimbursement. The ideal Managed Care Billing Specialist will also have experience working with UB04 claims in a hospital setting.

Key Responsibilities:



+ Perform insurance collections follow-up on outstanding hospital claims with a focus on Medicare and Managed Care payers.

+ Review and work hospital UB04 claims to ensure accurate billing and proper reimbursement.

+ Investigate and resolve claim denials, rejections, underpayments, and payment delays.

+ Submit corrected claims, supporting documentation, and appeals as needed to facilitate payment resolution.

+ Follow up on aged a...