Cypress Healthcare Partners is now hiring full-time and part-time Billing, Collections, and Account Research Specialists at our Monterey office located in the Ryan Ranch business park. Some experience is desired but we are willing to train!
Great schedule with no evenings or weekends!
Billing and Collections are responsible for accounts research of physician services by researching denials for resolution and providing customer service to patients, insurance companies, third parties, providers, and their offices. The employee will appeal denials appropriately, identify and report denial trends to management, notate on guarantor/patient accounts of research and resolution of claim(s), resolve insurance and patient credits, answer and resolve account inquiries, and handle the secondary insurance claims process.
KEY RESPONSIBILITIES & DUTIES:
-Research and resolve all types of denials efficiently and accurately, which includes but is not limited to coordination of benefits (COB), insurance eligibility, coding, billing
-Research and resolve insurance and patient credits timely and accurately.
-Follow insurance appeal standards or protocols, establish an appeal correspondence to petition the denial as incorrect or inappropriate and for the third-party carrier to reconsider and adjudicate the claim correctly. May inquire with assigned coder for education or letter of appeal, if outside the scope of the AR Specialist.
-Document all actions and communications taken regarding each account/session/encounter in the designated fields in the practice management system.
-Identify and track denial trends by payer, provider, and code.
-Identify billing-related issues and work with appropriate internal teams to resolve the identified issue(s) in a timely manner.
-Ensure secondary claims are filed with the appropriate primary insurance EOB attachment in a timely and accurate manner.
-Answer customer service inquiries professionally, timely, and efficiently. Document the guarantor/patient’s account in detail.
-Handle and expedite distinctive cases including bankruptcy, charity, statements, tax billing document, refunds and other items, which should be processed accurately but expeditiously and follow through. Follow the designated processes for these distinctive cases.
-Collecting outstanding balances must be done professionally and with tact.
-Posting of payment done accurately and timely
-Handle all claim denials appropriately and according to department standards.
KNOWLEDGE, SKILLS, AND ABILITIES
-Understand basic coding to work coding denials successfully.
-Must be able to communicate effectively in English, verbally and written.
-Excellent customer service and phone etiquette skills.
-Must be able to maintain a high degree of confidentiality and work well under productivity standards.
-Able to prioritize and balance the workload on short and long-term company needs.
-Must be able to work independently and be able to solve problems efficiently and accurately.
-Able to create channels of communication to obtain information necessary to perform job tasks.
-Helpful attitude, positive teamwork spirit with a willingness to help.
High School Diploma or Equivalent required.
Apply today at this link: https://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=6849f6cf-d23d-44c1-9e83-4e0a76dda6c0&ccId=19000101000001&jobId=324029&lang=enUS&source=CC4
Check out other opportunities with us here: https://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=6849f6cf-d23d-44c1-9e83-4e0a76dda6c0
Key words: billing, accounts, customer service, office, entry-level, train, full-time, part-time, healthcare, clinical, coder, coding, medical, claims