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Customer Service Medical Collections Specialist
Customer Service Medical Collections SpecialistNORCAL Ambulance • Livermore, CA, United States
Customer Service Medical Collections Specialist

Customer Service Medical Collections Specialist

NORCAL Ambulance • Livermore, CA, United States
2 days ago
Job type
  • Full-time
Job description

Job Type

Full-time

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.

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
  • 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
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    Collection Specialist • Livermore, CA, United States

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