Healthcare Collections Representative

Job Details

We are seeking a dynamic and experienced Healthcare Collections Representative to join our growing team in the healthcare industry. This is a 3+ month contract opportunity.

Responsibilities

• Accurate and timely data entry, review, and adjudication of all types of healthcare claims.
• Ensuring compliance with regulatory guidelines, contract provisions, and established policies and procedures.
• Maintaining quality, productivity, service-level, and turn-around requirements.
• Receiving work assignments via batch, report, in-basket pools, work queues, or other methods.
• Researching and resolving complex claim issues.
• Training others on claims processes and workflows.
• Collaborating with other departments to ensure the accuracy of claims processing and resolve any discrepancies.
• Continuously updating knowledge on industry trends and regulations to ensure the company's compliance.

Qualifications

• 5+ years of experience in claims examination, preferably in the healthcare industry.
• Proficient in data entry, review, and adjudication of healthcare claims.
• Strong knowledge of regulatory guidelines, contract provisions, and established policies and procedures related to healthcare claims.
• Excellent analytical skills with the ability to research and resolve complex claim issues.
• Proven experience in meeting quality, productivity, service-level, and turn-around requirements.
• Strong training skills with the ability to effectively train others on claims processes and workflows.
• Excellent communication and interpersonal skills.
• Strong computer skills, including proficiency in Microsoft Office Suite and claims management software.
• Ability to work independently and collaboratively within a team environment.

A bachelor's degree in healthcare administration, business, or a related field is preferred.

About the Role

Prestige Hospital System is dedicated to advancing new knowledge and improving health outcomes through research. We offer competitive compensation, medical insurance, dental insurance, vision insurance, life insurance, flexible schedule, job stability, and career growth opportunities.

If you are passionate, thrive in a fast-paced environment, and are ready to take your career to the next level, we would love to hear from you.

Interested in hearing more? Easy Apply now by clicking the "Easy Apply" button.

Jobot is an Equal Opportunity Employer. We provide an inclusive work environment that celebrates diversity and all qualified candidates receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, age (40 and over), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws.