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

Emanate Health Foothill Presbyterian Hospital•Covina, CA

7d•$24 - $36

About The Position

Performs account follow up from third-party payers including traditional commercial insurance carriers, Health Maintenance Organizations (HMO), Preferred Provider Organizations (PPO), EPO's, International Payers, Auto Liability and other Liability carriers, and all other non-governmental 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 High School Diploma.
Three years' billing experience is preferred.
Experience within an acute hospital setting, with strong emphasis on managed care contract and appeals/underpayment collection activities.
Excellent customer service skills.
Knowledge of collection techniques and collection laws (i.e. AB1455, Knox-Keene Act, Health & Safety Codes, etc.).
Knowledge of medical terminology and CTP/HCPS codes.
Knowledge of networks, IPA's, HMO's, PPO's and PCP's and contract affiliations.
Strong analytical skills, proficient with spreadsheets.

Nice To Haves

Bilingual Spanish preferred

Responsibilities

Performs account follow up from third-party payers including traditional commercial insurance carriers, Health Maintenance Organizations (HMO), Preferred Provider Organizations (PPO), EPO's, International Payers, Auto Liability and other Liability carriers, and all other non-governmental 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.

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