Collections Specialist – Medical

Are you ready for a challenging and rewarding career?

Health Advocates is seeking Insurance Collectors with prior medical collections experience.

Job Summary
Be at the forefront of utilizing collection techniques and concepts to overcome the most difficult cases.

You will be working on cases from our hospital clients throughout California; that are billed to insurance companies, managed care entities, government programs and other liable third parties.

You will gain the satisfaction of overturning denials and relieving patients of their medical debt, while working with our legal and medical support units.

Job responsibilities include: timely follow up and collection efforts on outstanding receivable accounts, reviewing accounts to determine patient eligibility for various forms of coverage, determine merit of collection efforts, review aged accounts, trace and appeal unpaid and/or erroneously paid or denied accounts, and perform miscellaneous related duties as needed.

Qualifications

· High school diploma or GED equivalent required

· Experience in a hospital collections department preferred

· Knowledge of medical terminology, billing requirements, and collection
procedures

· Understanding of settlement practices and procedures common to medical
collections

· Knowledge of Managed Care Contracts interpretation and calculations

· Familiar with UBO4 form and data elements

· Knowledge of commercial health insurance and managed care laws
and regulations

· Excellent verbal and written communication skills

· Detail-oriented with good organizational and time management skills

· Basic office skills and computer literacy required

· Must be able to type 35 WPM

Job Requirements:
Working Title: Case Manager
Pay Rate: $19.50+ per hour (Depending on Experience)
Position Type: Full-time; Non-exempt
Schedule: Alternative work week schedule-Mon-Thurs 7:30 am-5:00 pm & Fri 7:30 am-12:30 pm
Other: We conduct assessment testing and post offer background checks
Benefits
Health Advocates offers a comprehensive benefits package to meet the needs of today’s employees.

They Healthcare and Insurance Benefits, Retirement Benefits, Employee Discounts, Employee Assistance Program, Credit Union, Rideshare Incentives, Employee Referral Program, Vacation/Holiday/Sick Leave and other time off.

About Us
Founded in 1990, Health Advocates is the largest privately funded public advocacy company in California providing Eligibility and Recovery services to California public health systems, private hospitals, clinics, health plans, government agencies, and individuals.

We are dedicated to identifying medical coverage from third-party sources such as Medi-Cal, Social Security (SSI/SSDI), and other health insurance programs to minimize uncompensated care to the benefit of both our clients and the patients and applicants they serve.

Our success is born from a very unique blend of resources, expertise, and an unwavering determination to identify coverage and recovery solutions on behalf of patients that simply have no ability to pay their increasing financial healthcare debts.

Innovation and compassion are integral to Health Advocates’ identity and these attributes have historically served our clients very well.

We are proud of our past, excited about our future, and confident of our continued success.

Related Post