Customer Service Medical Collections Specialist

NORCAL Ambulance; Livermore (CA); On-site; USD 80,000 - 100,000; Full time

Job summary

An established industry player is seeking a Customer Service Medical Collections Specialist to join their dynamic Accounts Receivable team. This role is perfect for those who are energetic and passionate about customer service, as you will work directly with insurance companies and patients to ensure claims are processed and paid. The company values detail-oriented individuals who can maintain confidentiality and adhere to HIPAA guidelines. If you are hardworking and eager to learn, this position offers the opportunity to grow in a supportive environment. Join a team dedicated to making a difference in the healthcare billing process.

Qualifications

• Knowledge of Medicare, Medi-Cal, and commercial insurance preferred.
• Ability to work independently and as part of a team.

Responsibilities

• Process claims with insurance companies and patients for payment.
• Maintain confidentiality and adhere to HIPAA regulations.
• Review and appeal denied claims efficiently.

Skills

Excellent oral and written communication skills

Customer service experience

Attention to detail

Problem-solving skills

Critical thinking

Tools

Microsoft Suite

Job description

Customer Service Medical Collections Specialist

NORCAL Ambulance is looking to add energetic, passionate, and team-oriented 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.

Responsibilities

• Work directly with insurance companies and patients to get claims processed and paid
• Provide customer service by answering phone calls to collect payment and answer questions 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 manner
• Contact insurance companies regarding discrepancies in payments
• Maintain multiple workflows to process claims as efficiently as possible
• Review and appeal denied and unpaid 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
• Understand 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 route to the most appropriate recipients as applicable
• Work on various assigned tasks in the billing system
• Assist with assigned projects that pertain to the revenue cycle under the direction of the management team

Requirements

• 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