Medical Billing and Collections Representative

  • location: Rancho Cordova, CA
  • type: Contract
  • salary: $24 per hour
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job description

Medical Billing and Collections Representative

job summary:
Medical Billing and collections Representative

Primary Responsibilities:

- Contact customers to determine reason for payment delinquency

- Negotiate and advise on collection of overdue / incorrect claims and take appropriate action to recover overdue payments

- Handle unresolved inquiries / issues

- Responsible for adhering to collection practices

- May work with outside legal counsel and / or outside agencies in more complex collection cases

- Some work is completed without established procedures

- Basic tasks are completed without review by others

- Hospital or patient accounting department functions, operations and procedures

- Medical terminology, procedure and diagnosis coding sufficient to assess accuracy of patient accounts

- Covered insurance benefits, billing requirements and procedures for third party payers and / or Government Programs

- Data elements for UB04 / 1500 and / or State of California Medi-Cal Program

- Operation of on-line computerized patient accounting systems and / or electronic billing systems

- Accounting practices and procedures common to accounts receivable

- General clerical office practices and procedures

- Medical terminology

- HCPCS / CPT and ICD9 / ICD10 Coding understanding

- Hospital and patient accounting department functions

- Insurance policies and their benefits

- Data processing input devices

- Accounts receivable practices and procedures

- General clerical office practices

- Knowledge of payer contracts

 
location: Rancho Cordova, California
job type: Contract
work hours: 8 to 4
education: High School
experience: 2 Years
 
responsibilities:
Medical Billing and collections Representative

Primary Responsibilities:

- Contact customers to determine reason for payment delinquency

- Negotiate and advise on collection of overdue / incorrect claims and take appropriate action to recover overdue payments

- Handle unresolved inquiries / issues

- Responsible for adhering to collection practices

- May work with outside legal counsel and / or outside agencies in more complex collection cases

- Some work is completed without established procedures

- Basic tasks are completed without review by others

- Hospital or patient accounting department functions, operations and procedures

- Medical terminology, procedure and diagnosis coding sufficient to assess accuracy of patient accounts

- Covered insurance benefits, billing requirements and procedures for third party payers and / or Government Programs

- Data elements for UB04 / 1500 and / or State of California Medi-Cal Program

- Operation of on-line computerized patient accounting systems and / or electronic billing systems

- Accounting practices and procedures common to accounts receivable

- General clerical office practices and procedures

- Medical terminology

- HCPCS / CPT and ICD9 / ICD10 Coding understanding

- Hospital and patient accounting department functions

- Insurance policies and their benefits

- Data processing input devices

- Accounts receivable practices and procedures

- General clerical office practices

- Knowledge of payer contracts

 
qualifications:
Medical Billing and collections Representative

Primary Responsibilities:

- Contact customers to determine reason for payment delinquency

- Negotiate and advise on collection of overdue / incorrect claims and take appropriate action to recover overdue payments

- Handle unresolved inquiries / issues

- Responsible for adhering to collection practices

- May work with outside legal counsel and / or outside agencies in more complex collection cases

- Some work is completed without established procedures

- Basic tasks are completed without review by others

- Hospital or patient accounting department functions, operations and procedures

- Medical terminology, procedure and diagnosis coding sufficient to assess accuracy of patient accounts

- Covered insurance benefits, billing requirements and procedures for third party payers and / or Government Programs

- Data elements for UB04 / 1500 and / or State of California Medi-Cal Program

- Operation of on-line computerized patient accounting systems and / or electronic billing systems

- Accounting practices and procedures common to accounts receivable

- General clerical office practices and procedures

- Medical terminology

- HCPCS / CPT and ICD9 / ICD10 Coding understanding

- Hospital and patient accounting department functions

- Insurance policies and their benefits

- Data processing input devices

- Accounts receivable practices and procedures

- General clerical office practices

- Knowledge of payer contracts

 
skills: MS Office
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

Qualified applicants in San Francisco with criminal histories will be considered for employment in accordance with the San Francisco Fair Chance Ordinance.

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance.

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