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Automatic Data Processing, Inc.; Whittier (CA); On-site; USD 52,000 - 75,000; Full time

Job summary

Automatic Data Processing, Inc. seeks an Accounts Receivable Specialist Representative/Collector to support the Finance Department in maximizing reimbursements on payer invoices. You will review invoices, prioritize follow-ups, and coordinate with payers to secure payments.

Strong communication, analytical, and organizational skills are essential. The role requires at least a high school diploma with medical billing/collections experience and familiarity with EOBs and payer portals.

Qualifications

• High School Diploma or equivalent with specialized training in medical billing and/or collections.
• Minimum of 2 years of medical collection experience.
• Medical/Pharmacy terminology experience desired.
• Explanation of Benefits (EOB) experience.
• Payer website experience desired.

Responsibilities

• The Account Receivable Specialist Representative/Collector will work with the Finance Department Manager to collect appropriate reimbursement on assigned payer invoices.
• Duties include and are not limited to the review of assigned invoices to determine the best process to obtain maximum reimbursement for services by prioritizing and perform daily follow-up.
• Communicate well with payers both verbally and in writing.

Skills

Aging reports

Denials & appeals

EOB experience

Payor portals experience

Analytical skills

Communication

Active listening

Organization

Attention to detail

Customer-focused service

Education

High School Diploma or equivalent with specialized training in medical billing and/or collections

Tools

CPR+

Office Ally

Job description

ROLE AND RESPONSIBILITIES

• The Account Receivable Specialist Representative/Collector will work with the Finance Department Manager to collect appropriate reimbursement on assigned payer invoices.
• Duties include and are not limited to the review of assigned invoices to determine the best process to obtain maximum reimbursement for services by prioritizing and perform daily follow-up. Communicate well with payers both verbally and in writing.

QUALIFICATIONS AND EDUCATION REQUIREMENTS

• High School Diploma or equivalent and additional specialized training in medical billing and/or collections
• Minimum of 2 years of medical collection experience
• Medical/Pharmacy terminology experience desired
• Explanation of Benefits (EOB’s) experience
• Payer website experience desired

REQUIRED SKILLS

• Experience in reviewing aging reports
• Experience with denials and appeal procedures.
• Experience in the basic 1500 Form Billing Rules.
• Utilize Payor Portals via the internet for claim disposition
• Strong analytical and problem-solving skills
• Ability to quickly learn multiple software platforms (CPR+ & Office Ally)
• Excellent verbal and written communication skills
• Excellent listening skills
• Strong planning and organizational skills
• High quality work, organized with attention to detail
• Strong customer focus with the ability to problem solve to meet customer needs and expectations

ADDITIONAL NOTES

• Must be able work independently
• Must possess and maintain a “whatever it takes” attitude and can stay on task
• Must be able to communicate with internal customers at all levels of management
• Must be able to work in Microsoft Word and Excel