Collections Specialist - Healthcare jobs in California
Collections Specialist - Healthcare is responsible for requesting payment and collecting overdue balances from patients. Contacts patients by phone or mail to request payment and to review their account details. Being a Collections Specialist - Healthcare responds to patient questions and sets up alternative pay plans if necessary. Maintains patient account records and resolves third party payer issues. Additionally, Collections Specialist - Healthcare typically requires a high school diploma. Typically reports to a supervisor or manager. The Collections Specialist - Healthcare works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be a Collections Specialist - Healthcare typically requires 1-3 years of related experience. (Copyright 2024 Salary.com)
Recently Added Collections Specialist - Healthcare jobs
Healthcare Collections Specialist
- Evolve Treatment Centers
-
El Segundo, CA
FULL_TIME
-
Evolve Treatment Centers offers cutting-edge intensive outpatient, partial hospitalization, and residential programs for teens ages 12 to 17 struggling with substance use and mental health disorders. We use evidence-based treatment modalities, including Dialectical Behavior Therapy (DBT), Cognitive Behavior Therapy (CBT), and Motivational Interviewing (MI), as well as several experiential therapies. The Associate Therapist training program provides a unique opportunity for clinicians to gain experience working with teens facing acute mental health issues, as well as understanding residential and intensive outpatient settings.
The Collections Specialist helps accomplish company goals by providing resolution and service to outstanding receivable accounts. The ideal candidate has passion, drive, intelligence and integrity, high attention to detail, professionalism and excellent follow up skills to increase revenue.
The position requires a thorough knowledge of the healthcare industry and an assertive, effective strategy when working with insurance carriers to get claims paid.
Job Responsibilities and Duties:
• Patient Advocate/Parent Follow Up
• Paid to Patient/Paid to Deductible/Private Pay
• Certified Mail package preparation
• SCA (Single Case Agreements)
• Provides claim resolution for assigned accounts to increase collections and reduce
delinquencies.
• Analyzes Explanation of Benefits and Remittance Advices and ensures claims processed
according to members plans.
• Identifies denial reasons and follows appeal process to get claims paid.
• Performs high volume collection phone calls to insurance companies.
• Access payer online resources to expedite claims follow up and ensure claims are on file
and processing.
• Follow EOB protocol, retrieve documentation to ensure paid accounts are closed.
• Accesses billing software to analyze rejection reasons and communicate findings.
• Communicates billing/coding errors and completes resubmission request.
• Identifies and reports changes and trends in carrier guidelines and reimbursement
patterns.
• Executes and delivers special projects from management and other duties as assigned.
• Corresponds with third party rate negotiation companies to expedite claim process.
• Accesses EMR, retrieves medical records and prepares for submission while following
protocol and in a timely manner.
• Adheres to documentation protocol, notates accounts and reports appropriately.
• Organizes daily and weekly production/action reports in file share.
• Participates in companywide and departmental meetings.
• Commits to providing excellent customer service while maintaining the highest degree of
professionalism while working in a team environment to meet goals.
• Prepare, review, and send client statements.
• Understands and complies with all HIPAA rules and regulations.
• Office/Facilities and any other duties as assigned.
Requirements
• Experience working in Healthcare as Collections Specialist, plus if experienced in
Behavioral Health claims collection.
• 3-5 years High Volume corporate Collections experience
• Knowledge of Billing and Collections procedures
• Experience working with online payer resources.
• Excellent phone etiquette and oral communication skills
• Experience speaking with Payors.
• Experience speaking with families, parents etc. and collecting money.
• Accounts Receivable knowledge/experience
• Strong attention to detail, goal oriented
• Commitment to excellent customer service
• Ability to work efficiently within deadlines.
• Excellent written and verbal communication abilities
• Strong interpersonal skills and ability to work in a team environment.
• Ability to prioritize and manage multiple responsibilities.
• Adheres to all policies and procedures as outlined in the Employee Handbook
• Proficiency in using Microsoft Office products.
- 6 Days Ago
Billing and Collections Specialist in Healthcare Technology
- Jopari Solutions
-
Concord, CA
FULL_TIME
- Billing and Collections Specialist in Healthcare Technology This is a fantastic opportunity to join a growing company in one of today’s hottest fields, healthcare information technology. Jopari Soluti...
- 25 Days Ago
Collections Specialist (Remote)
- Global Healthcare IT
-
Los Angeles, CA
FULL_TIME
- 1.)Prior experience working remotely and using Teams for meetings and communication. 2.) Hospital EPIC experience3.) Ensure they have the appropriate internet access and speed at home Position / Speci...
- 1 Month Ago
Collections Specialist
- City of Anaheim
-
Anaheim, CA
FULL_TIME
- The City of Anaheim Finance Department seeks a detail oriented and dynamic Collections Specialist/Central Cashier to support operations in the Central Cashiering Division. The division collects and pr...
- 11 Days Ago
Collections Specialist
- Robert Half
-
Chula Vista, CA
OTHER
- Robert Half is hiring Collections Specialists for contract and contract-to-hire roles starting ASAP! The Collections Specialist will play a critical role in managing accounts receivable and ensuring t...
- 11 Days Ago
Collections Specialist
- Robert Half
-
El Cajon, CA
OTHER
- Robert Half is hiring Collections Specialists for contract and contract-to-hire roles starting ASAP! The Collections Specialist will play a critical role in managing accounts receivable and ensuring t...
- 11 Days Ago
Collections Specialist - Healthcare jobs at Popular Companies
Medical Collections Specialist
- Ultimate Staffing Services
-
Irvine, CA
- Medical Insurance Verification Specialist needed for Newport Beach Surgery Center. This is a long term temp role. Must b...
- 4/19/2024 12:00:00 AM
Collections Rep
- Apria
-
Tallahassee, FL
- At Owens & Minor, we are a critical part of the healthcare process. As a Fortune 500 company with 50+ facilities across ...
- 4/19/2024 12:00:00 AM
Collections Specialist
- Kaseya
-
Miami, FL
- Kaseya® is the leading provider of complete IT infrastructure and security management solutions for Managed Service Prov...
- 4/17/2024 12:00:00 AM
Collections Specialist
- Kaseya
-
Miami, FL
- Kaseya is the leading provider of complete IT infrastructure and security management solutions for Managed Service Provi...
- 4/17/2024 12:00:00 AM
Collections Agent
- CornerStone Staffing
-
Tempe, AZ
- Job Description Job Description CornerStone Staffing is hiring for a nationwide Bank for their Collections department. I...
- 4/17/2024 12:00:00 AM
Collections Agent
- Credence Resource Management
-
Dallas, TX
- Job Description Job Description We are looking for a Collections Agent to join our team! You will be responsible for sec...
- 4/16/2024 12:00:00 AM
Collections Agents
- CornerStone Staffing
-
Arlington, TX
- Job Description Job Description Do you live in the DFW metroplex? Do you have collections experience? Are you seeking a ...
- 4/15/2024 12:00:00 AM
Collection Specialist
- Music and Arts
-
Frederick, MD
- Are you someone who loves solving problems? Do you believe music brings people together? If you want to contribute to an...
- 4/10/2024 12:00:00 AM
About California
California is a state in the Pacific Region of the United States. With 39.6 million residents, California is the most populous U.S. state and the third-largest by area. The state capital is Sacramento. The Greater Los Angeles Area and the San Francisco Bay Area are the nation's second and fifth most populous urban regions, with 18.7 million and 9.7 million residents respectively. Los Angeles is California's most populous city, and the country's second most populous, after New York City. California also has the nation's most populous county, Los Angeles County, and its largest county by area, S...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Collections Specialist - Healthcare jobs
$45,440 to $56,728
Most Popular Cities in California for Collections Specialist - Healthcare Jobs
What does a Collections Specialist - Healthcare do?
Collections Specialist - Healthcare in Frankfort, KY
Health collections specialists serve as generalists, performing a broad range of tasks.
January 19, 2020
Collections Specialist - Healthcare in Ventura, CA
That’s where the services of an insurance collections specialist come in handy.
January 29, 2020
Collections Specialist - Healthcare in Medford, OR
In many cases, working as a health insurance specialist requires you to have a high school diploma or GED.
November 28, 2019