Overview College Medical Center Long Beach is part of College Hospitals. We are dedicated to the highest quality of customer service delivered with warmth, friendliness, and organizational pride. Join a team that provides a respectful environment, flexibility, a tight-knit group, and autonomy to utilize your knowledge and experience. The Managed Care/Commercial Account Specialist is responsible for all aspects of billing, follow-up, and collection activity for claims to primary, secondary, and/or tertiary payors. The position performs duties related to billing and collection for timely follow up, resolution of non-payment and denials, addressing billing questions, reviewing patient accounts, and follow up. The specialist is expected to keep the worklist current, meet daily productivity expectations, maintain aging under 90 days, maximize cash flow, stay familiar with current regulatory requirements, and handle electronic and hard copy billing and UB04 billing formats. Responsibilities Manage billing and follow-up activities for claims to primary, secondary, and/or tertiary payors. Monitor and resolve non-payments and denials; address billing questions and review patient accounts. Maintain current worklists, meet daily productivity targets, and keep aging under 90 days; maximize cash flow. Ensure familiarity with current regulatory requirements and UB04, electronic and hard copy billing formats. Qualifications 2 years of recent Medicare Billing experience – Acute Care Hospital Knowledge of medical terminology Understanding of UB04 claim form, CPT, HCPCS, ICD-9, and ICD-10 Codes Proficient with Microsoft Word and Excel High school diploma Placement in the pay range is based on multiple factors including, but not limited to, relevant years of experience and qualifications. In addition to base pay, there may be additional compensation available for CHLB roles, including but not limited to shift differential and other special pay practices. The posted compensation for the position is a reasonable estimate that extends from the lowest to the highest pay that CHLB in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. EEO Statement All College Medical Center subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. College Medical Center subsidiaries are equal opportunity employers and openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state, or local laws. Notice We are aware of a scam whereby imposters are posing as Recruiters from College Medical Center and its subsidiaries. Beware of anyone asking for financial or personal information. At College Medical Center and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path. During the recruitment process, no recruiter or employee will request financial or personal information via email. Our recruiters will not email you from a public webmail client. Email correspondence will come from domains that end in collegemedicalcenter.com or glendorahospital.com. If you suspect a fraudulent job posting or job-related email mentioning College Medical Center or its subsidiaries, report concerns to appropriate law enforcement and verify opportunities on legitimate College Medical Center subsidiary career websites rather than relying on unsolicited calls from recruiters. #J-18808-Ljbffr
Managed Care/Commercial Account Specialist • Long Beach, CA, United States
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