Insurance Collections Specialist

4 weeks ago

Walnut Creek, United States Aspen Surgery Center Full time

**_Duties and Responsibilities:_**

Under the supervision of the Business Office Manager or Director of Business Operations, the Insurance Collections Specialist is responsible for the financial success of the facility in regards to revenue cycle management.

The employee should have a full understanding of each of the processes to maximize reimbursement.
- Must possess knowledge of insurance contracts and breakdown of payments to ensure correct payments.
- Actively participates in achieving the monthly collection goals
- Contacts carriers within 25 days to verify claim status and resubmission of claims as necessary
- Contacts patient's as necessary to discuss financial responsibility
- Turns over un-collectable accounts within 90 days
- Knowledgeable of appeal/denial logs and process correspondence accordingly
- Utilizes adjustment and refund journals in accordance with established guidelines
- Knowledge of payment posting and processing of appeals and refunds
- Manages collection activities to maximize revenue to assure budgeted EBITDA results are achieved
- Account management is performed according to facility benchmarks and guidelines

**Qualifications**:

- **Minimum of 2 years of experience in collection activities within a healthcare environment.** **(Applicants without this experience will not be considered)**:

- Demonstrated computers skills in utilizing work processing, integrated database, and understanding of mathematical calculations and medical terminology
- Ability to use office machines (copiers, fax machines, and scanners), and telephone systems
- Proficiency using and knowledge of Microsoft Office, and patient accounting systems.

**Equal Employment Opportunity & Work Force Diversity**

Our organization is an equal opportunity employer and will not discriminate against any employee or applicant for employment based on race, color, creed, sex, religion, marital status, age, national origin or ancestry, physical or mental disability, medical condition, parental status, sexual orientation, veteran status, genetic testing results or any other consideration made unlawful by federal, state or local laws. This practice relates to all personnel matters such as compensation, benefits, training, promotions, transfers, layoffs, etc. Furthermore, our organization is committed to going beyond the legal requirements of equal employment opportunity to take positive actions which ensure diversity in the workplace and result in a multi-cultural organization.

  • Underwriting Specialist

    3 weeks ago

    Walnut Creek, United States CNA Insurance Full time

    You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential. JOB DESCRIPTION: Grow your underwriting career at a company that offers...

  • Collections Representative

    1 month ago

    Walnut Creek, United States Golden State Dermatology Full time

    Golden State Dermatology (GSD) is a comprehensive medical, surgical and cosmetic dermatology practice with locations throughout the Bay area and central California. Due to its long-established reputation in each of its markets. GSD has a robust referral network and offers in-house Mohs surgery for the treatment of skin cancer. In addition, GSD offers a...

  • Revenue CycleAR Specialist

    1 month ago

    Walnut Creek, United States Bay Area Retina Associates Full time

    Job Description Job Description REVENUE CYCLE SPECIALIST Bay Area Retina Associates, seeks a Revenue Cycle Specialist with a minimum of two years billing experience to become an integral part of our Billing/Collections team. This person will be a full-time, goal-oriented, revenue-driven, highly accurate and motivated Biller. Primary duties include but are...

  • Revenue Cycle/A/R Specialist

    4 weeks ago

    Walnut Creek, United States Bay Area Retina Associates Full time

    Job DescriptionJob DescriptionREVENUE CYCLE SPECIALISTBay Area Retina Associates, seeks a Revenue Cycle Specialist with a minimum of two years billing experience to become an integral part of our Billing/Collections team. This person will be a full-time, goal-oriented, revenue-driven, highly accurate and motivated Biller.Primary duties include but are not...

  • Senior Account Receivable Specialist

    1 month ago

    Walnut Creek, United States Golden State Dermatology Full time

    Golden State Dermatology (GSD) is a comprehensive medical, surgical and cosmetic dermatology practice with locations throughout the Bay area and central California. Due to its long-established reputation in each of its markets. GSD has a robust referral network and offers in-house Mohs surgery for the treatment of skin cancer. In addition, GSD offers a...

  • Doc Specialist

    2 weeks ago

    Walnut Creek, California, United States Price Family Dealerships Full time

    We are a Price-Simms Family owned business offering a supportive and team-oriented work environment. Currently seeking highly motivated individuals dedicated to ensuring customer satisfaction and thriving as team players.We have an open position for:Document SpecialistPosition Purpose:This role involves providing support to the sales team and handling DMV...

  • Billing and Collections Specialist- LTC, JFS AND PRIVATE

    1 week ago

    Coconut Creek, United States Premier Care Nurses of America Full time

    Billing and Collections Specialist- LTC, JFS AND PRIVATE Definition: Under general supervision, performs billing and collection duties in the Billing Department for LTC, JFS and Private Clients. Performs related duties as assigned. Tasks: Receives, ent...

  • Senior Account Receivable Specialist

    2 weeks ago

    Walnut Creek, California, United States Golden State Dermatology Full time

    Golden State Dermatology (GSD) is a comprehensive medical, surgical and cosmetic dermatology practice with locations throughout the Bay area and central California. Due to its long-established reputation in each of its markets. GSD has a robust referral network and offers in-house Mohs surgery for the treatment of skin cancer. In addition, GSD offers a...

  • Doc Specialist

    2 weeks ago

    Walnut Creek, California, United States Toyota Walnut Creek Full time

    ApplyJob TypeFull-timeDescriptionWe are a Price-Simms Family owned business that provides a family owned and team oriented work environment. We are looking for super motivated people highly focused on customer satisfaction and working as a team player.We currently are looking to hire for the following position: Document Specialist.Position Purpose:This...

  • Doc Specialist

    1 month ago

    Walnut Creek, United States Price Family Dealerships Full time

    Job Type Full-time Description We are a Price-Simms Family owned business that provides a family owned and team oriented work environment. We are looking for super motivated people highly focused on customer satisfaction and working as a team player. We currently are looking to hire for the following position: Document Specialist. Position Purpose: This...

  • Doc Specialist

    3 weeks ago

    Walnut Creek, United States Price Family Dealerships Full time

    Job Type Full-time Description We are a Price-Simms Family owned business that provides a family owned and team oriented work environment. We are looking for super motivated people highly focused on customer satisfaction and working as a team player. We currently are looking to hire for the following position: Document Specialist. Position Purpose: This...

  • Registration Specialist

    1 month ago

    Walnut Creek, United States Planned Parenthood Northern California Full time

    Planned Parenthood Northern California (PPNorCal) is seeking a Registration Specialist for our Walnut Creek Health Center. This role is full-time, 40 hours per week. PPNorCal provides a comprehensive benefits package including 100% employer paid medical insurance for the employee, 50% employer paid medical insurance for dependent children, dental and vision...

  • Accounting Specialist

    3 weeks ago

    Walnut Creek, United States Windsor Capital Group Full time

    Join our team! Windsor Hospitality thrives in building hospitality careers. We want to design a path of professional growth and give you the keys to such success. We are recognized as a strong partner with warm hearted hospitality staff nationwide. Windsor Hospitality is looking for their newest **Accounting Specialist!** **FEATURED BENEFITS**: -...

  • Surety Underwriter Ii

    4 weeks ago

    Walnut Creek, United States Philadelphia Insurance Companies Full time

    **Marketing Statement** Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries. We have been in operation since 1962 and are nationally recognized as a member of Ward's Top 50 and rated A++ by...

  • Sr Loan Servicing Specialist

    2 weeks ago

    Walnut Creek, California, United States Mechanics Bank Full time

    Mechanics Bank is currently searching for a Sr. Loan Servicing Specialist to join our team. Here at Mechanics Bank, we value connection, partnership, long term relationships and working together in person. This role will be working on-site at our Wal Specialist, Processing, Property Tax, Customer Service, Insurance, Operations, Business Services, Banking

  • Sr. Loan Service Specialist

    2 weeks ago

    Walnut Creek, United States Mechanics Bank Full time

    Mechanics Bank is currently searching for a Sr. Loan Servicing Specialist to join our team. Here at Mechanics Bank, we value connection, partnership, long term relationships and working together in person. This role will be working on-site at our Wal Specialist, Customer Service, Processing, Property Tax, Insurance, Service, Retail, Banking

  • Sr Loan Servicing Specialist

    4 weeks ago

    Walnut Creek, United States Mechanics Bank Full time

    Mechanics Bank is currently searching for a Sr. Loan Servicing Specialist to join our team. Here at Mechanics Bank, we value connection, partnership, long term relationships and working together in person. This role will be working on-site at our Wal Specialist, Processing, Property Tax, Customer Service, Insurance, Operations, Business Services, Banking

  • Surety Underwriter II

    2 weeks ago

    Walnut Creek, California, United States Philadelphia Insurance Companies Full time

    Marketing StatementPhiladelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries. We have been in operation since 1962 and are nationally recognized as a member of Ward's Top 50 and rated A++ by A.M.Best.DutiesWe are...

  • Compliance Specialist

    2 weeks ago

    Walnut Creek, United States Cchnc Full time

    Compliance Specialist (Full-time, Non-Exempt, $23.32 - $32.64) Based on CCH’s Compensation philosophy, the majority of new hires are brought in at the minimum of the salary range. CCH Central Office Our Mission CCHbuilds quality, affordable housing in caring communities. The meaningful work we do as a team benefits very low-income seniors who might...

  • Compliance Specialist

    2 weeks ago

    Walnut Creek, California, United States Christian Church Homes Full time

    Job Description Job Description Compliance Specialist(Full-time, Non-Exempt, $ $32.64)Based on CCHs Compensation philosophy, the majority of new hires are brought in at the minimum of the salary range. CCH Central OfficeOur MissionCCH builds quality, affordable housing in caring communities. The meaningful work we do as a team benefits very low-income...