Customer Service Medical Collections Specialist

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. 

• 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.

1. Work directly with insurance companies and patients to get claims processed and paid
2. Customer service, answering phones calls to collect payment and answer question regarding claims
3. Initiate collection follow-up of all unpaid or denied claims with the appropriate payor
4. Respond to written or electronic payor communications with appropriate action in a timely manor
5. Contact insurance companies regarding discrepancies in payments
6. Maintain multiple workflows to process claims as efficiently as possible
7. Reviewing and appealing denied and unpaid claims
8. Assist patients in appealing denied claims
9. Prepare and submit claims as needed, and rectify claims in a timely fashion if necessary
10. Prepare materials to be sent to insurance companies, as directed
11. Keep accurate and detailed notes on all activity
12. Understanding of payer guidelines for Medicare, Medi-Cal (and its affiliates), Commercial Insurance, Workers Compensation, and various other insurance carriers
13. Maintain strictest confidentiality; adhering to all HIPAA guidelines/regulations
14. Collect delinquent accounts by establishing payment arrangements with patients and also follow-up with patients when payment lapses occur
15. Sort correspondences and other letters and routes to the most appropriate recipients as applicable
16. Works various assigned tasks in billing system
17. 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