Job Detail

We are a billing management group that works with rapidly growing out-of-network laboratories that service clients all over California. We are looking to expand our billing/collections team with a well-versed Collections Specialist with years of experience to take us to join our team and help us grow.

Under the guidance and supervision of the Billing & Collections Supervisor, you will be responsible for the collection of outstanding account receivables with insurance companies and all other aspects of collections, analysis, and resolution of billing problems, and reducing accounts receivable delinquency.

Essential Collection Specialist Responsibilities:

• Conduct collection calls and/or correspondence in a fast-paced goal-oriented collections department.
• Manage claims collections (not patient collections)
• Provide customer service regarding collection issues
• Ability to train newer staff who will report to you
• Ability to differentiate the difference between in and out of network
• Resolve insurance discrepancies and short payments
• Contact and inquire with insurance companies for collection
• Document in detail problem/action/ and follow up with insurance companies until claim paid
• Possess working knowledge of Explanation of Benefits (EOB’s)
• Responsible for monitoring and maintaining assigned accounts
• Accountable for reducing delinquency for assigned accounts
• Verification of Refund Requests and Medical Records requests
• Provide timely reporting via creation and management of spreadsheets and updates to direct supervisor and/or Management Team
• Initiate and resolve Appeals for many different insurance payers
• Assist in the creation of Collections Team policies and procedures
• Perform additional duties as requested by Supervisor or Management team

Requirements:

• Minimum of 3 years insurance collections experience (at least 2 years of out-of-network collections experience)
• Have trained collections specialists in the past
• Very computer savvy and ability to quickly learn and utilize new billing systems, insurance portals, etc
• Well versed in Microsoft excel- weekly reports will be sent to the owner via excel
• Great communication skills
• Ability to work well with a team and share knowledge amongst the staff

Job Type: Full-time

Pay: $24.00 - $27.00 per hour

Benefits:

• Health insurance
• Paid time off

Physical setting:

• Office

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Experience:

• Medical collection: 3 years (Preferred)

Work Location: In person