Medical Collection Specialist

4 weeks ago


Los Angeles, California, United States Volt Full time
Medical Collection Specialist

Volt is seeking a highly skilled Medical Collection Specialist to join our team. As a Medical Collection Specialist, you will be responsible for reviewing records for outstanding and unpaid claims, contacting payor sources to determine the status of payments, and maintaining records and preparing reports.

Key Responsibilities:
  • Review records for outstanding and unpaid claims to determine collection activities.
  • Contact payor sources to determine the status of payments and ensure timely payments of claims.
  • Maintain records and prepare reports as requested.
  • Research patient insurance information and update billing information.
  • Submit timely appeals and follow up on claims at various stages of the collection process.
  • Document all collection efforts per company policies and procedures.
  • Attend and participate in in-services and staff meetings to continue acquiring knowledge of collections processes, billing systems, practices, and policies.
  • Protect the privacy rights of patients and maintain the confidentiality of all financial and other records.
  • Complete all documentation accurately and legibly.
  • Comply with hospice policies and procedures, laws and regulations, and standards of practice.
Requirements:
  • High school diploma or GED certificate.
  • At least one year of experience in medical collections and a general understanding of collection and billing practices, including appeal processes and deadlines.
  • Knowledge of medical collection practices, billing requirements, medical terminology, hospice and palliative care services, computers, and billing software.
  • Effective writing and communication skills, especially by telephone.
  • Ability to maintain records and prepare reports.
  • Understanding and maintaining deadlines with the ability to systematically follow-up and follow-through.
  • Experience with Availity and Waystar portals.
  • Knowledge of HIPAA regulations.
  • Ability to handle 20-30 claims per day.
  • Willingness to learn the hospice portion of the role (appeals experience is essential).
  • Collections experience is highly valued.

Volt offers a competitive pay range based on education, work experience, work location, specific job duties, certifications, and other factors. Qualified candidates should apply for immediate consideration.



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