Patient Account Specialist II
1 week ago
Hybrid $3,000 Sign-on Bonus
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. Assisting newly hired team members with answers to questions. Works on special complex high priority projects as assigned by management.
EDUCATION REQUIREMENTS:
- High School Diploma (Additional equivalent experience above the preferred minimum may substitute for the required level of education).
- Experience within a hospital setting, with strong emphasis on managed care contract and appeals/underpayment collection activities.
- Collector I – [0-2] Years’ experience
- Collector II - [2-5] Years’ experience
- Collector III - [>5] Years’ experience
SKILLS & ABILITIES REQUIREMENTS
- 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.
- Demonstrated skill working in a team-oriented structure to achieve goals
- Persistent, ability to overcome objections, ability to remove barriers
- Effective written and verbal communication skills
- Strong listening skills, ability to follow written and/or verbal instructions
- Goal Oriented, and seeks to consistently meet aggressive daily, weekly, and monthly production and quality goals
- Strong analytical skills, proficient with spreadsheets
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