Customer Service Medical Collections Specialist

Location

Livermore, CA | United States

Job description

Description:

NORCAL Ambulance is looking to add energetic , passionate and team orientated staff to our Accounts Receivable team . We are willing to train the right candidates and experience is not necessary.  

The ideal candidates will have:  

• Excellent oral and written communication skills.
• Customer service experience to resolve billing problems.
• Be hardworking, punctual, accurate, and detail oriented.
• Bilingual is a plus. (not required)**

NORCAL is looking for candidates whose responsibilities include but not limited to: responsible for

collection efforts, payment posting, medical coding corrections, billing corrections and appeals, claim

submissions, medical insurance communications, PT billing collections and other duties in our accounts

receivable department.

Responsibilities:

• Work directly with insurance companies and patients to get claims processed and paid.
• Customer service, answering phones calls to collect payment and answer question regarding claims.
• Initiate collection follow-up of all unpaid or denied claims with the appropriate payor.
• Respond to written or electronic payor communications with appropriate action in a timely manor.
• Contact insurance companies regarding discrepancies in payments.
• Maintain multiple workflows to process claims as efficiently as possible.
• Reviewing and appealing denied and unpaid claims.
• Assist patients in appealing denied claims.
• Prepare and submit claims as needed, and rectify claims in a timely fashion if necessary.
• Prepare materials to be sent to insurance companies, as directed.
• Keep accurate and detailed notes on all activity.
• Understanding of payer guidelines for Medicare, Medi-Cal (and its affiliates), Commercial Insurance, Workers Compensation, and various other insurance carriers.
• Maintain strictest confidentiality; adhering to all HIPAA guidelines/regulations.
• Collect delinquent accounts by establishing payment arrangements with patients and also follow-up with patients when payment lapses occur.
• Sort correspondences and other letters and routes to the most appropriate recipients as applicable.
• Works various assigned tasks in billing system.
• Assist with assigned projects that pertain to the revenue cycle under the direction of the management team.

Job Requirements:

• Excellent customer service skills.
• Medicare, Medi-Cal, commercial insurance knowledge preferred.
• Proficient with Microsoft suite.
• Excellent attention to detail and the ability to troubleshoot/problem solve.
• Critical thinking on every aspect of claim submission.
• Ability to work both independently and in a team.
• Position is located on-site in Livermore, not a remote position.

Job tags

Salary

$21.5 - $23.5 per hour