Medical Collector jobs in United States
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TEKsystems · 1 day ago

Medical Collector

TEKsystems is a leading provider of business and technology services, focusing on transforming client operations. The Medical Collector role involves analyzing contracts, following up with insurance companies, and ensuring compliance with government payers to maximize reimbursement.

Information Technology
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H1B Sponsor Likelynote

Responsibilities

Analyzes and interprets Commercial contract language, terms, conditions and responsibility matrices
Performs telephone and written follow-up with insurance companies, strictly working with government payers and providers
Ensures that payers adhere to compliance laws regarding timely processing of claims
Has a strong understanding of Managed Care and insurance company payment principles, rules, and regulations to perform reimbursement from both the third party and patient perspectives
When working with individual payers on an account-by-account basis, determines if payer needs additional information, identifies barriers, or secures payment dates
Responsible for following through with requested information as needed in order to remove payment barriers
If unable to remove barriers, elevates the account to either Management or Payer Management
Develops collection recovery strategies with each payer
Must aggressively pursue each outstanding account to reach maximum reimbursement and closure
Reviews appeals and denials
Audit collections and review aging reports

Qualification

Medi-CalMedical collectionsInsurance billingDenials managementManaged CareCollectorHealthcareCommercialMedicareAdvantage

Required

2+ years experience with Hospital/Acute Care collections and payer collections/billing experience with Medi-Cal
Strong understanding of Managed Care and insurance company payment principles, rules, and regulations
Ability to analyze and interpret Commercial contract language, terms, conditions and responsibility matrices
Experience in performing telephone and written follow-up with insurance companies, strictly working with government payers and providers
Knowledge of Medi-Cal and government contracts
Ability to ensure that payers adhere to compliance laws regarding timely processing of claims
Experience in developing collection recovery strategies with each payer
Ability to aggressively pursue each outstanding account to reach maximum reimbursement and closure
Experience in reviewing appeals and denials
Experience in auditing collections and reviewing aging reports

Preferred

EPIC experience
Denials management from cradle to grave
CCS, Medi-Cal experience
Experience with Cancer treatments, Proton Therapy charges

Benefits

Medical, dental & vision
Critical Illness, Accident, and Hospital
401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
Life Insurance (Voluntary Life & AD&D for the employee and dependents)
Short and long-term disability
Health Spending Account (HSA)
Transportation benefits
Employee Assistance Program
Time Off/Leave (PTO, Vacation or Sick Leave)

Company

TEKsystems

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At TEKsystems, they understand people. Every year they deploy over 80,000 IT professionals at 6,000 client sites across North America,

H1B Sponsorship

TEKsystems has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (46)
2024 (52)
2023 (33)
2022 (22)
2021 (36)
2020 (53)

Funding

Current Stage
Late Stage

Leadership Team

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Ryan Skains
Vice President, TEKsystems Global Services
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Company data provided by crunchbase