Peter Gomez
UC Irvine Health
- Role
- Patient Account Representative at UCI Health
- Location
- Orange, CA, US
- LinkedIn followers
- 500 followers
About Peter Gomez
I am currently a Collector in Managed Care. I have an Appeal and Grievance…
Experience
Patient Account Representative
Jul 2016 — Present · Orange County, CA, US
Analyzes and resolves outstanding accounts issues internally within thedepartments such as Billing, Coding, Revenue Integrity and Medical Records. Communicates with the insurance Payors in order to collect payment by resolvingoutstanding reimbursement issues and providing necessary information needed. Researches and reviews payment variances and denials to resolve underpayment oroverpayment accounts by validating contracts, Letter of Agreements or adjustments. Writes effective technical appeals based on underpayment or specific denial reasonsto insurance Payors with effective results. Coordinates with the Appeals Unit in order to expedite to Clinical Nurses for clinicaldenials based on medical necessity, level of care and peer to peer consultations.
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