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Collections Representative
3 months ago
Job Title:
Collection Specialist (Onsite)
Location: 15400 Foothill Blvd. San Leandro CA 94578
Shift: 7:00 AM - 3:30 PM
Contract Duration: 26 Weeks Contract
Job Summary:
The PFS Collection Specialist is responsible for all aspects reviewing payer contracts, claims and performing third party collection activity for hospital services.
Roles and Responsibilities:
- Responsible for all aspects of follow up and collections on insurance balances, including making telephone calls, accessing payer websites.
- Identify issues or trending and provide suggestions for resolution.
- Accurately and thoroughly documents the pertinent collection activity performed.
- Initiate telephone or letter contact to patients to obtain additional information as needed.
- Perform appropriate followup functions, including manual resubmissions as well as electronic attachments to payers.
- Manage and maintain desk inventory, complete reports, and resolve high priority and aged inventory.
- Participate and attend meetings, training seminars and inservices to develop job knowledge.
- Participate in the monthly, quarterly and annual performance evaluation process with Supervisor.
- Communicate issues to management, including payer, system or escalated account issues.
- Maintains information or operational records; screens reports for completeness and mathematical accuracy; list, abstracts, or summarizes data; compiles routine report from a variety of sources.
- May, as a secondary responsibility, interpret abstracts, orders, notes, invoices, permits, licenses, etc.; computes and receives fees when the amount is not in question or is readily obtainable from fixed schedules; posts data; and prepares reports in accordance with predetermined forms and procedures.
- Prepares documents for collection of revenues from third party payer programs; checks and verifies charge rates for services; reconciles account balances and verifies payments.
- Reviews billing documents to assure program compliance for Medicare, Medi-Cal, Mental Health, and insurance programs; assures that all appropriate medical documentation is submitted timely.
- Other duties as assigned.
Qualifications:
- High school diploma or equivalent education.
- Minimum Experience: One year of experience in a Revenue Cycle area within the Alameda Health System; OR the equivalent of two years' experience, performing medical billing/collections or medical accounts receivable functions in a healthcare insurance related environment.
- EPIC backend experience is a must.
- Preferred 35 years of experience in a hospital business environment performing billing and/or collections. No certification requirement however someone with a strong background in collection and patient accounting (medical billing).
Job Type:
Contract
Pay:
$34.00 per hour
Expected hours: 40 per week
Experience:
- Medical collection: 2 years (required)
- Healthcare insurance: 1 year (required)
Ability to Commute:
- San Leandro, CA required)
Work Location:
In person
