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We are seeking a **Medical Collector** for our state-of-the-art **Behavioral Health facility** in AZ. This position will be **fully remote** and will be responsible for resolving denials on medical or behavioral claims. The Medical Collector will also follow up on unpaid claims without response to initial or subsequent billing. The Medical Collector will also monitor payer response files, resolve denials by obtaining payment or performing write off adjustments, research root cause of assigned credit balances and perform actions for resolution, communicate findings, and escalate trending issues.

To learn more, please apply to this posting!

Key Responsibilities

• Utilizes software knowledge, business processes knowledge and Standard Operating Procedures to correctly manage assigned scope of denial.

• Reviews and analyzes payer responses to determine appropriate claim adjudication.

• Completely and accurately review and resolve payer denials according to timely filing guidelines:

• Acts to resolve all claims issues and discrepancies including denials and credit balances.

• Resubmits voided or corrected claims after verifying and correcting claims data.

• Ensures accuracy to optimize reimbursement while adhering to regulations.

• Prepares, submits, and tracks payer appeals and reconsiderations.

• Coordinates with various departments to obtain necessary information/action to resolve rejections, underpayments, recoupments, or denials.

• Ensures that all month end deadlines are met.

Education and Experience Required

• High School diploma or GED required. Associate degree or higher preferred.

• Minimum 1-2 years with medical claims denials.

• Minimum 1-2 years’ experience performing healthcare reimbursement, behavioral health insurance/billing or related work.

• Knowledge of CPT, HCPCS and Modifier experience required.

• Experience with behavioral health claims preferred.

• Experience working in a remote environment preferred.

Work Environment

• Fully remote position.

• Fast-paced, high-volume workload.

• Requires strong accuracy, focus, and time management.

• Collaborative team environment with cross-department interaction.

To learn more, please apply to this posting!

**Pay Details:** $24.00 to $30.00 per hour

Equal Opportunity Employer/Veterans/Disabled

Military connected talent encouraged to apply

To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://uat.adecco.com/en-us/candidate-privacy

The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:

+ The California Fair Chance Act

+ Los Angeles City Fair Chance Ordinance

+ Los Angeles County Fair Chance Ordinance for Employers

+ San Francisco Fair Chance Ordinance

**Massachusetts Candidates Only:** It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.