Medical Billing & Collections Specialist

Pacific Medical Inc.; Tracy (CA); On-site; USD 35,000 - 52,000; Full time

Benefits offered by this job

Medical, Dental, Vision benefits

401k and financial wellness planning

Paid holidays and vacation

Job summary

Pacific Medical, Inc. is seeking a full-time Medical Insurance Collections Specialist for our Tracy, CA office. The role involves ensuring reimbursement for services by collecting unpaid bills from patients and insurance companies, Monday to Friday, 8:00 am to 5:00 pm.

Responsibilities include contacting insurance companies, entering EOBs, and following up on unpaid claims, with opportunities for OT and variable bonuses based on production and profit bonuses.

Qualifications

• Medical Collections experience (1-2 years minimum).
• Must type 31-45 words per minute.
• Ability to read and interpret medical records is required.
• Knowledge of Endeavor and/or Medicare IVR systems.
• Knowledge of reading and interpreting Explanation of Benefits (EOBs).
• Knowledge of HMOs and PPOs.
• Knowledge of patients' medical records for Medicare criteria.

Responsibilities

• Contact insurance companies regarding past due bills.
• Enter EOBs in the system and research returned claims.
• Conduct phone and written follow-up on unpaid claims.
• Maximize cash collection and minimize collection time.
• Research and resolve open accounts quickly and professionally.

Skills

Medical Collections

Typing speed

Medical records literacy

EOB interpretation

Medicare IVR

PPO/HMO knowledge

Job description

Pacific Medical, Inc. is seeking a full-time Medical Insurance Collections Specialist for our Tracy, CA office. The role involves ensuring reimbursement for services by collecting unpaid bills from patients and insurance companies, Monday to Friday, 8:00 am to 5:00 pm.

Responsibilities include contacting insurance companies, entering EOBs, and following up on unpaid claims, with opportunities for OT and variable bonuses based on production and profit bonuses.