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Date Posted: 11/15/2018

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Job Description

BILLING & COLLECTIONS SPECIALIST 

Essential Duties and Responsibilities

  • Reviewing and approving adjustment requests
  • Knowledge of appropriate payer billing requirements (especially Medicare Part B) to ensure timely payment of claims.
  • Identify denial patterns, as well as notifying management of payment delay issues.
  • Responsible for maintaining the highest level of billing standards following current guidelines from Medicare, Medicaid, and other insurance entities.
  • Perform collection activities for past due accounts including contacting customers to identify and resolve collection issues
  • Enter clear and concise system notes pertaining to all collection calls so that a history is maintained for all accounts regarding collection efforts
  • Research and reconcile customer payment history as necessary
  • Negotiate alternative payment terms as needed to maintain customer relationship and compliance with the customer's contract
  • Coordinate with outside collection agency, as needed.
  • Monitor accounts for potential write-off; prepare required Credit and Bad Debt write off requests and route for appropriate approvals
  • Contacting insurance companies and patients on daily basis
  • Working Accounts Receivable and provide detailed report to management
  • Billing of unpaid claims
  • Organizing, researching and preparing appeals
  • Correspondence and appeal denials done in a timely manner with pro-active follow-up on appeals in process
  • Other duties as necessary
Other Responsibilities
  • Adheres to the policies and procedures of 360 Behavioral Health.
  • Maintains strict confidentiality of client, company and personnel information
  • Demonstrates a strong commitment to the mission and values of the organization
  • Adheres to company attendance standards
  • Performs other duties as assigned
Competencies
  • Strong organizational and interpersonal skills
  • Excellent written and verbal communication skills
  • Detail oriented
  • Ability to multi-task and work independently
Qualifications
  • Experience in using electronic health record software, eligibility and electronic billing.
  • Strong computer skills including above average knowledge of Excel.
  • Exceptional communications skills - both written and verbal.
  • Ability to read, understand and use codes and adhere to Medicare guidelines and compliance.
  • Superior organizational skill, attention to detail, ability to work without micro-management.
  • Minimum 5+ years in collections with out-of-network experience
  • Excellent Customer Service
  • Must have understanding of HCFC1500 claim forms
  • Knowledge of HIPPA compliance
  • Strong knowledge and implementation of appeals process
  • Strong analysis of EOBs for collections purposes
  • Extremely detail oriented when working on appeals or reviewing EOBs
  • Ability to multi-task with short timelines
  • Ability to prioritize, organize work, and complete assignments in a timely matter
  • Excellent interpersonal skills
Education and/or Experience
  • Associates degree or equivalent experience.


We are an equal opportunity employer and make hiring decisions based on merit. Recruitment, hiring, training, and job assignments are made without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, or any other protected classification. We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance.

Job Requirements

BILLING & COLLECTIONS SPECIALIST

Essential Duties and Responsibilities
Reviewing and approving adjustment requests
Knowledge of appropriate payer billing requirements (especially Medicare Part B) to ensure timely payment of claims.
Identify denial patterns, as well as notifying management of payment delay issues.
Responsible for maintaining the highest level of billing standards following current guidelines from Medicare, Medicaid, and other insurance entities.
Perform collection activities for past due accounts including contacting customers to identify and resolve collection issues
Enter clear and concise system notes pertaining to all collection calls so that a history is maintained for all accounts regarding collection efforts
Research and reconcile customer payment history as necessary
Negotiate alternative payment terms as needed to maintain customer relationship and compliance with the customers contract
Coordinate with outside collection agency, as needed.
Monitor accounts for potential write-off; prepare required Credit and Bad Debt write off requests and route for appropriate approvals
Contacting insurance companies and patients on daily basis
Working Accounts Receivable and provide detailed report to management
Billing of unpaid claims
Organizing, researching and preparing appeals
Correspondence and appeal denials done in a timely manner with pro-active follow-up on appeals in process
Other duties as necessary
Other Responsibilities
Adheres to the policies and procedures of 360 Behavioral Health.
Maintains strict confidentiality of client, company and personnel information
Demonstrates a strong commitment to the mission and values of the organization
Adheres to company attendance standards
Performs other duties as assigned
Competencies
Strong organizational and interpersonal skills
Excellent written and verbal communication skills
Detail oriented
Ability to multi-task and work independently
Qualifications
Experience in using electronic health record software, eligibility and electronic billing.
Strong computer skills including above average knowledge of Excel.
Exceptional communications skills both written and verbal.
Ability to read, understand and use codes and adhere to Medicare guidelines and compliance.
Superior organizational skill, attention to detail, ability to work without micro-management.
Minimum 5+ years in collections with out-of-network experience
Excellent Customer Service
Must have understanding of HCFC1500 claim forms
Knowledge of HIPPA compliance
Strong knowledge and implementation of appeals process
Strong analysis of EOBs for collections purposes
Extremely detail oriented when working on appeals or reviewing EOBs
Ability to multi-task with short timelines
Ability to prioritize, organize work, and complete assignments in a timely matter
Excellent interpersonal skills
Education and/or Experience
Associates degree or equivalent experience.
Posted By: ysaizon@ledgent.com

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Job Snapshot

  • Employee Type:Full-Time
  • Location:West Hills, CA
  • Job Type:Accounting
  • Experience:Not Specified
  • Education:Not Specified
  • Date Posted:11/15/2018
  • Contact: Yves Saizon (818) 347-8989
  • Pay Range: $20.00 - $25.00 Hourly
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Job Reference: JO-1811-43636