Medical Collections Specialist (on-site)

pacificmedicalinc; Tracy (CA); On-site; USD 35,000 - 52,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

401k

HSA

Job summary

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

Responsibilities include contacting insurers, entering EOBs, following up on unpaid claims, and maximizing cash collections while reducing collection times. Comprehensive full-time benefits accompany this position.

Qualifications

• Medical Collections experience (1–2 years minimum).
• Must type 31–45 words per minute.
• Ability to read and interpret medical records required.
• Knowledge of Endeavor and/or Medicare IVR.
• Knowledge of how to read and interpret EOBs (Explanations of Benefits).
• 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 denied claims.
• Conduct phone and written follow-up on unpaid claims.
• Maximize cash collections and minimize collection time.
• Research and resolve open accounts quickly and professionally.

Skills

Medical Collections

Typing speed

Reading medical records

Medicare IVR knowledge

EOB interpretation

HMOs & PPOs

Endeavor system

Tools

Endeavor

Job description

Established in 1987, Pacific Medical, Inc. is a distributor of durable medical equipment; specializing in orthopedic rehabilitation, arthroscopic surgery, sports medicine, prosthetics, and orthotics. With the heart of the company dedicated to helping and serving others, we provide our services directly to the patient, medical networks, physician clinics, and offices. We are dedicated to the advancement of patient care through excellent service and product technology.

We have an immediate non-remote opportunity to join our growing company. We are currently seeking full-time (M-F 8:00 am-5:00 pm) Medical Insurance Collections Specialists for our Tracy office. This individual will be responsible for ensuring reimbursement for services rendered by collecting unpaid medical bills from patients and insurance companies.

Job Responsibilities:

• Contact insurance companies regarding past due bills.
• Entering EOBs in the system and researching returned claims.
• Conducting phone and written follow-up on unpaid claims.
• Maximizing the amount of cash collected and minimizing the time in which it is collected.
• Research and resolve open accounts quickly and professionally.

Job Requirements:

• Medical Collections Experience (1-2 Years Minimum)
• Must type 31-45 words per minute.
• Ability to read and interpret medical records REQUIRED
• Knowledge of Endeavor and/or Medicare IVR
• Knowledge of how to read and interpret Explanation of Benefits (EOB's)
• Knowledge of HMO’s and PPO’s
• Knowledge of patients’ medical records for determining correct Medicare criteria.

Hourly Rate Pay Range:

$17.00to $25.00

• Annual Range ($35,360 to $52,000)
• Example of Annual O/T Range (5 to 10 hours per week @ 50 weeks range $6,375 - $18,750+)
• Note: Abundance of O/T Available

Bonus Opportunity

Production Bonus: $0 to $1000 per month (increases hourly rate up to $5.77 or up to $12k per year)

Profit Bonus: $0 to $1000 per month (increases hourly rate up to 5.77 per hour or up $12k per year)

Total Compensation Opportunity Examples:

• Annual Base Pay: $41,735.00 (Estimate incl. 5 hrs O/T per week, Low-range Production and Profit Bonus after 3 months)
• Annual Mid-Range Pay: $60,555.00 (Estimate incl. 5 hrs O/T per week, Mid-range Production and Profit Bonus)
• Annual Top Pay: $82,375.00 (Estimate incl. 5 hrs O/T per week, Max Production and Profit bonus)

All Full-Time positions offer the following:

• Medical, Dental, Vision, ER paid Life for Employee, Voluntary benefits, Medical FSA, Dependent FSA, HSA, 401k, and Financial Wellness planning.

Additional Benefits for Full-Time Employees (3 to 4 weeks of Paid Time Off)

Holidays: 10 paid holidays per year

Vacation Benefit: At completion of 3-month introductory period, vacation accrual up to a max of 40 hours in the first 23 months, at 24 months, accrual up to a max of 80 hours with a rollover balance.

Sick Benefit: Sick accrual begins upon date of hire up to a max accrual of 80 hours annually with a max usage of 48 hours annually with a rollover balance.