Health Advocates is seeking Claim Adjudicators with prior medical collections experience for our main office in Chatsworth, CA.
This position is responsible for the timely follow up and collection efforts on outstanding receivable accounts that are billed to insurance companies, managed care entities, government programs, and other liable third parties. Responsibilities include reviewing accounts to determine patient eligibility for various forms of coverage, determine merit of collection efforts, review aged accounts, trace and appeal unpaid and/or erroneously paid or denied accounts.
High school diploma or GED equivalent required
Experience in a hospital collections department preferred
Knowledge of medical terminology, billing requirements, and collection procedures
Understanding of settlement practices and procedures common to medical collections
Knowledge of Managed Care Contracts Interpretation and Calculations
Familiar with UBO4 data elements
Knowledge of commercial health insurance and managed care laws and regulations
Excellent verbal and written communication skills
Detail-oriented with good organizational and time management skills
Basic office skills and computer literacy required
Must pass background check
Must be able to type 35 WPM
Working Title: Case Manager
Pay rate: $19.00+ per hour (Depending on Experience)
Position Type: Full-time; Non-Exempt
Schedule: Alternative work week schedule-Mon-Thurs 7:30 am-5:00 pm & Fri 7:30 am-12:30 pm
Testing:Successful completion of a Basic Office Skills (grammar, spelling, filing), typing, writing, Excel test.
Health Advocates offers a comprehensive benefits package to meet the needs of today's employees. They include: Healthcare and Insurance Benefits, Retirement Benefits, Employee Discounts, Employee Assistance Program, Credit Union, Rideshare Incentives, Employee Referral Program, Vacation/Holiday/Sick Leave and other time off.
Founded in 1990, Health Advocates is the largest privately funded public advocacy company in California providing Eligibility and Recovery services to California public health systems, private hospitals, clinics, health plans, government agencies, and individuals. We are dedicated to identifying medical coverage from third-party sources such as Medi-Cal, Social Security (SSI/SSDI), and other health insurance programs to minimize uncompensated care to the benefit of both our clients and the patients and applicants they serve. Our success is born from a very unique blend of resources, expertise, and an unwavering determination to identify coverage and recovery solutions on behalf of patients that simply have no ability to pay their increasing financial healthcare debts. Innovation and compassion are integral to Health Advocates' identity and these attributes have historically served our clients very well. We are proud of our past, excited about our future, and confident of our continued success.
This position requires access to confidential protected health information (PHI). Our employees are expected to protect the privacy of all PHI in accordance with Health Advocates' privacy policies and procedures and as required by state and federal law including but not limited to the HIPAA Security and Privacy Rule.
To apply for this position, please complete an online application by clicking on the link below Apply Now
21540 Plummer Street, Suite B
Chatsworth, CA 91311
(818) 995-9500 p
(818) 995-6872 f
Health Advocates is an equal opportunity employer. We believe all of our employees should be treated fairly, consistently, and with dignity and respect. Our goal is to maintain a satisfied and productive team of employees. The keys to reaching that goal are effective leadership, fair and competitive wages and benefits, dedication to the job, and close attention to employee relations matters.
Billing, Paralegal, Plan Claim adjudicator, Claims Processor, Collections, Patient Accounting, Patient Financial Services Representative, Patient Accounts Representative, Insurance Collector, Insurance Collector Specialist, Business Office Representative, Biller, Workers Compensation, Worker's Compensation, Third Party Liability, Recovery, Revenue, Claims, Analyst, TPL, Negotiation, Negotiator, Lien, Follow up, Follow-up, Commercial, Private, Insurance, Eligibility Representative, Hospital, Insurance, Healthcare, UBO4, SMS 400, HMO, PPO, POS, Managed Care, DME billing, HCFA-1500, CPT, EPIC, Paragon, Medisoft, Meditec, Citrix, Artiva, CareConnect, ERISA, lien, liens, HLA, E Codes, on billing forms, CMS1500, Med-Pay, MS4, negotiate settlements, issue refunds, Patient Rep, Appeals Specialist, Managed Care Collector, A/R., hospital Revenue cycle solutions, managed care account rep, collections, hospital, Insurance Follow-Up Specialist, Medical Bill Reviewer, Payment Recovery Specialist, Reimbursement Specialist, Insurance Claims Analyst, Insurance Claims Examiner, Insurance Verification Specialist, Patient Registrar, denial management services, Self-Pay Solutions, physician, lead insurance collector, Discrepancy Unit