Job Information
Robert Half Medical Collections Specialist in Covina, California
Description We are seeking a Medical Collections Specialist to join our team in the healthcare industry, based in Covina, California. This role involves managing medical collections, ensuring prompt billing and collection procedures for third-party patient accounts, and maintaining regular interaction with insurance providers. This position offers a contract to permanent employment opportunity.
Responsibilities:
• Manage medical collections, focusing on ensuring the swift resolution of outstanding payments.
• Ensure prompt and efficient billing and collection procedures for third-party patient accounts.
• Follow up with insurance companies on unpaid, denied, and rejected claims.
• Work with claims 150 aged accounts, tracking and following up on delinquent claims not paid promptly as per regular cycle.
• Demonstrate strong proficiency in CMS1500 and be accustomed to multispecialty practices.
• Interact directly with insurance providers to address and resolve any inconsistencies in payment.
• Make recommendations to the Collections Supervisor regarding the possible assignment of accounts.
• Utilize MEDITECH and other relevant software for efficient and accurate data management.
• Apply knowledge and skills related to Medical Appeals, Medical Denials, CMS 1500, MEDITECH, EOB - Explanation of Benefits, and Medical Collections. Requirements • Must have a minimum of 3 years of experience in Medical Collections
• Proficient with Medical Appeals and Medical Denials
• Familiarity and working experience with CMS 1500 and MEDITECH required
• Must be adept at understanding and interpreting EOB - Explanation of Benefits
• Prior experience in Medical Collections in the Healthcare/NHS industry is mandatory
• Excellent communication and interpersonal skills required
• Ability to work independently and as part of a team
• Must possess strong organizational skills and attention to detail
• Ability to handle sensitive and confidential information with discretion
• Must have problem-solving skills and the ability to handle multiple tasks simultaneously
• Knowledge of healthcare industry standards and regulations required.
• High level of commitment to exceptional customer service.
Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.
Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more.
All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.
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