Job Abstract

Perform a key role within a world-class health system. Provide vital expertise to ensure the highest standards of medical excellence. Take your professional expertise to the next level. You can do all this and more at UCLA Health.

As the Ophthalmology Collector, you will be responsible for:

• Accurately processing inpatient and outpatient claims to government and commercial payers, following all mandated billing guidelines
• Provide quality control checks of denied claims, the ability to process tracers, process contractual adjustments and allocation of funds; initiate appeals
• Draft, compose, and submit appeal letters specific to coding issues consistent with the most updated American Medical Association Current Procedural Terminology
• Perform all required duties within the patient accounting systems
• Overturn denials and secure payment of denied claims

Salary Range: $26.85 - $35.41 Hourly

We’re seeking a detail-oriented, self-directed professional with:

• Two years recent professional medical collection experience, preferably in Ophthalmology
• Skill in drafting appeals, identifying denial reason and ability to secure payment of denied claims
• Knowledge of commercial contracts, with the ability to understand contract language in order to appeal denied claims and/or secure underpayments
• Knowledge of how to use modifiers to secure payment, i.e. 25, 33, 59 and 51
• Working experience with Medi-Cal, Medicare, HMO, and PPO insurance
• Experience using on line payer sites with the ability to check claim status, denials, and eligibility
• Knowledge of MS Word and MS Excel software
• Knowledge of CPT, ICD-10, and HCPC codes
• Must be an effective multi-tasker in order to meet daily production and quality standards

UCLA Health is a world-renowned health system with four award-winning hospitals and dozens of primary care practices, specialty practices, urgent care centers and other ancillary locations throughout metro Los Angeles as well as the David Geffen School of Medicine. Through the efforts of our outstanding people, we have become Los Angeles’ trusted provider of exceptional, compassionate patient care. If you’re looking to experience greater challenge and fulfillment in your career, UCan at UCLA Health.