Healthcare Collections Specialist
1 week ago
Johnson Service Group (JSG) is currently in search of a Healthcare Collections Specialist to support our operations in the South Orange County Area.
Work Schedule: Monday to Friday, 8:00 A.M. to 4:30 P.M.
Compensation: $28.00-$31.00 per hour (dependent on experience).
Employment Type: Temporary to Direct Hire.
Key Responsibilities:
- Manage detailed debit and credit account balances, ensuring resolution of patient and non-patient (insurance) accounts.
- Conduct accurate and timely follow-ups to resolve all accounts receivable through thorough auditing.
- Achieve and maintain cash collection targets and metrics.
- Maximize reimbursement for the facility.
- Comprehend and apply each payer contract to ensure correct payment receipt.
- Interpret and explain the Explanation of Benefits from various payers.
- Collaborate closely with payer provider relations representatives for online appeals and monitoring.
- Possess extensive knowledge of ASC allowable procedures.
- Address reimbursement issues related to contracted HMO, PPO, EPO, POS, Workers' Comp, Medicare, self-pay, and third-party claims.
- Independently resolve second-level reimbursement challenges, including contracted and non-contracted service denials.
- Work through denials and corrected claims in partnership with billing personnel and insurance payers.
- Adhere to center policies and best practices for account resolution and reassignment.
Qualifications:
- High school diploma or equivalent is required.
- A minimum of five years of experience in medical collections is preferred.
- Knowledge of medical terminology, ICD-9, and CPT codes is essential.
- Strong computer and data entry skills are necessary, along with a deep understanding of contracts.
- Ability to work collaboratively within a team and independently, managing multiple tasks efficiently while maintaining confidentiality.
- Excellent communication skills and a positive demeanor when interacting with patients, families, and colleagues are crucial for the success of our center.
Company Overview:
Johnson Service Group (JSG) is committed to fostering a diverse and inclusive workplace. We provide equal employment opportunities to all applicants and employees without regard to race, color, religion, sex, age, sexual orientation, gender identity, national origin, disability, marital status, protected veteran status, or any other characteristic protected by law.
At JSG, our people and culture are what make us a great place to work. Our mission is to empower individuals, assist our clients in achieving their goals, and recruit motivated professionals.
With over 40 years of experience in the staffing and consulting services industry, Johnson Service Group, Inc. (JSG) is a North American leader dedicated to investing in people and organizations. We strive to deliver world-class service and a range of offerings tailored to meet the evolving needs of our clients and candidates.
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