Customer Service Medical Collections Specialist

Description

• Description:
• NORCAL Ambulance is looking to add energetic , passionate and team orientated 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.

NORCAL is looking for candidates whose responsibilities include but not limited to: responsible for

collection efforts, payment posting, medical coding corrections, billing corrections and appeals, claim

submissions, medical insurance communications, PT billing collections and other duties in our accounts

receivable department.

Responsibilities:

• •Work directly with insurance companies and patients to get claims processed and paid
• •Customer service, answering phones calls to collect payment and answer question 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 manor
• •Contact insurance companies regarding discrepancies in payments
• •Maintain multiple workflows to process claims as efficiently as possible
• •Reviewing and appealing denied and unpaid claims
• •Assist patients in appealing denied 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
• •Understanding of 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 routes to the most appropriate recipients as applicable
• •Works various assigned tasks in billing system
• •Assist with assigned projects that pertain to the revenue cycle under the direction of the management team

Requirements

• •Excellent customer service skills
• •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