Collections Specialist Hospital - Business Office - Full Time - Days - 8hr
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What you'll do
- 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.
- Duties include collections, appeals, billing, adjustments, EOB review, correspondence and managing all types of denials.
- Works on special complex high priority projects as assigned by management.
What they're looking for
- High School diploma or equivalent, or work experience in lieu of High School Diploma.
- None (Minimum License Requirement).
Nice to have
- Bilingual Spanish preferred.
- Three years' billing experience is preferred.
Summarised by NextRaise from the employer’s description, which follows in full below.
Full description from employer
Current Emanate Health Employees - Please log into your Workday account to apply
Everyone at Emanate Health plays a vital role in the care we deliver. No matter what department you belong to, the work you do at Emanate Health affects lives. When you join Emanate Health, you become part of a team that works together to strengthen our communities and grow as individuals.
On Glassdoor's list of "Best Places to Work" in 2021, Emanate Health was named the #1 ranked health care system in the United States, and the #19 ranked company in the country.
Job Summary
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. Duties include collections, appeals, billing, adjustments, EOB review, correspondence and managing all types of denials. Works on special complex high priority projects as assigned by management.
Job Requirements
Minimum Education Requirement :
High School diploma or equivalent, or work experience in lieu of High School Diploma. Bilingual Spanish preferred.
Minimum Experience Requirement :
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.
Minimum License Requirement :
None.
Delivering world-class health care one patient at a time.
Pay Range:
$24.15 - $36.47Company
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