Magna Health Systems is currently seeking a medical collector to follow up on worker’s compensation and motor vehicle accident claims for three ASCs (Ambulatory Surgery Centers) and an anesthesia practice. The collector will be responsible for filling and following up on claims relating to worker’s compensation and motor vehicle accidents.
Follows up on claims and determines appropriate processing depending on the outcome of adjudication
Documents intermediate and final outcomes of claim processing in the system as well as personal claim roster
Submits claim corrections and appeals pertaining to payer rejections and denials
Sends medical records and any additional information requested by payers aimed at successful claim processing
Follows up on claims via web portals and dedicated phone lines
Reports on any systematic claim processing errors to management, and works on devising front end strategies on combating slow or inadequate processing
Understands worker’s compensation claim processing workflows
Works closely with coder, biller, and insurance verifier to find optimal ways of addressing claim processing issues
Contacts adjustors and attorney offices when necessary to follow up on claims and resolve claim processing issues
Keeps track of projects related to specific claim processing issues and monitors bulk claim submissions (DOL)
Applies knowledge of contracting and payer specific processing and reimbursement methodologies in account review
Processes contractual write off requests, notates EOBs in the system, and recommends accounts for issuing statements for patient responsibility
Prepares and submits liens on behalf of the facilities and the anesthesia practice
Initiates settlement negotiation for personal injury and motor vehicle accident cases
Organizes and maintains records related to claim processing
Magna Health Systems, LLC
Why Work Here?Magna Health Systems ("MHS") is a patient-centered and physician-driven healthcare management services company that provides administrative services to its client companies in the surgery center and anesthesia practice spaces. Magna Health Systems is known for the great care it takes with clients and employees alike.
Located in Bedford Park, just a few minutes’ drive from the Midway airport. Great benefits, work schedule and coworkers.
Bedford Park, IL