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A medical establishment in Santa Barbara is seeking a Collections Representative to join their team. This position provides financial, clerical and administrative services to ensure efficient, timely and accurate payment of accounts in accordance with the mission, vision and values of the organization. The ideal candidate works as a team player supporting a variety of staff and has past experience exercising discretion and maintaining a high level of confidentiality. This individual will need to display a caring and responsive attitude and conduct all activities while respecting patient, family and employee rights and expectations.
Responsibilities include, but are not limited to:
Responsible for timely reimbursement of clean claims, corrects denied claims, and appeals denied and delayed claims
Collecting, posting, and managing patient account payments
Compiling and updating revenue cycle management on detailed information regarding specific insurance plan payment/non-payment trends
Processing revenue and bad debt adjustments and refund requests
Corresponding and developing relationships with insurance companies to resolve issues and submit appeals per payer requirements
Generating claims for secondary and tertiary insurance
Investigating insurance fraud and report if found
Reviewing delinquent accounts and contacting responsible party(s) for collection
Qualifications:
Knowledge of clinical practices and medical terminology
Expert knowledge of all health care payer denial reasons, denials codes and descriptions and standard denial resolution practices
Ability to understand use, function, interpret, document, and keep records
Ability to interpret, adapt and apply guidelines and procedures
Demonstrated knowledge of Medi-Cal Managed Care, Commercial Payers, Medi-Cal, FPACT, & PE
Thorough understanding of accounts receivables in a medical practice
Education, Experience and Licensure:
High School diploma (or equivalent) required
Minimum of six months experience in an accounting or customer service environment
Knowledge of CPT4/HCPCS and ICD10 coding, billing and collection guidelines
If you match the criteria above and are looking for a rewarding career in finance in a healthcare environment, please submit your resume and cover letter. We look forward to hearing from you!
