Collections Specialist Hospital (Secondary Billing/Collections) - Business Office - Full Time - Days - 8hr
Emanate Health · Glendora, CA · 2 days ago
Finance$24.15–$36.47/hrFull-time
About the role
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.
Responsibilities
- Collections
- Appeals
- Billing
- Adjustments
- EOB review
- Correspondence and managing all types of denials
- Works on special complex high priority projects as assigned by management
Qualifications
High School diploma or equivalent, or work experience in lieu of High School Diploma. Bilingual Spanish preferred.
Experience
- Three years' billing experience is preferred
- Experience within an acute hospital setting, with strong emphasis on managed care contract and appeals/underpayment collection activities
- Excellent customer service skills
- 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
- Strong analytical skills, proficient with spreadsheets
Pay
$24.15 - $36.47