Collections Specialist Hospital - Business Office - Full Time - Days - 8hr Glendora

Emanate Health • Glendora, CA

1d • $24 - $36

About The Position

Performs account follow-up with third-party payers, including traditional commercial insurance carriers, HMOs, PPOs, EPOs, international payers, auto liability and other liability carriers, and other nongovernmental third-party payers. Duties include collections, appeals, billing, adjustments, EOB review, correspondence, and managing all types of denials. Works on special complex, high-priority projects as assigned by management.

Requirements

• High school diploma or equivalent, or work experience in lieu of a high school diploma.
• Three years of billing experience is preferred.
• Experience within an acute hospital setting, with strong emphasis on managed care contracts and appeals/underpayment collection activities.
• Excellent customer service skills.
• Knowledge of collection techniques and collection laws, including AB1455, the Knox-Keene Act, and Health & Safety Codes.
• Knowledge of medical terminology and CTP/HCPS codes.
• Knowledge of networks, IPAs, HMOs, PPOs, PCPs, and contract affiliations.
• Strong analytical skills.
• Proficiency with spreadsheets.

Nice To Haves

• Bilingual Spanish preferred.
• Three years of billing experience is preferred.

Responsibilities

• Follow up on accounts with third-party payers.
• Perform collections, appeals, billing, and adjustments.
• Review EOBs and handle correspondence.
• Manage all types of denials.
• Work on special complex, high-priority projects assigned by management.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED