Customer Service Medical Collections Specialist

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    "description_html": "<align-center><u><strong>Description:</strong></u></align-center><align-center><br></align-center><p><strong>NORCAL Ambulance</strong> is looking to add<strong> energetic</strong>, <strong>passionate and team orientated staff</strong> to our <u><strong>Accounts Receivable team</strong></u>. We are <strong>willing to train the right candidates and experience is not necessary.</strong>&nbsp;</p><p><br></p><align-center><u><strong>The ideal candidates will have:</strong></u>&nbsp;</align-center><ul><li><strong>excellent oral and written communication skills&nbsp;</strong></li><li><strong>customer service experience to resolve billing problems &nbsp;</strong></li><li><strong>be hardworking, punctual, accurate, and detail oriented.</strong></li></ul><p><br></p><p><u><strong>NORCAL is looking for candidates whose responsibilities include but not limited to:</strong></u> <strong>responsible for</strong></p><p><strong>collection efforts, payment posting, medical coding corrections, billing corrections and appeals, claim</strong></p><p><strong>submissions, medical insurance communications, PT billing collections and other duties in our accounts</strong></p><p><strong>receivable department.</strong></p><p><br></p><align-center><u><strong>Responsibilities:</strong></u></align-center><p><br></p><ol><li><strong>Work directly with insurance companies and patients to get claims processed and paid</strong></li><li><strong>Customer service, answering phones calls to collect payment and answer question regarding claims</strong></li><li><strong>Initiate collection follow-up of all unpaid or denied claims with the appropriate payor</strong></li><li><strong>Respond to written or electronic payor communications with appropriate action in a timely manor</strong></li><li><strong>Contact insurance companies regarding discrepancies in payments</strong></li><li><strong>Maintain multiple workflows to process claims as efficiently as possible</strong></li><li><strong>Reviewing and appealing denied and unpaid claims</strong></li><li><strong>Assist patients in appealing denied claims</strong></li><li><strong>Prepare and submit claims as needed, and rectify claims in a timely fashion if necessary</strong></li><li><strong>Prepare materials to be sent to insurance companies, as directed</strong></li><li><strong>Keep accurate and detailed notes on all activity</strong></li><li><strong>Understanding of payer guidelines for Medicare, Medi-Cal (and its affiliates), Commercial Insurance, Workers Compensation, and various other insurance carriers</strong></li><li><strong>Maintain strictest confidentiality; adhering to all HIPAA guidelines/regulations</strong></li><li><strong>Collect delinquent accounts by establishing payment arrangements with patients and also follow-up with patients when payment lapses occur</strong></li><li><strong>Sort correspondences and other letters and routes to the most appropriate recipients as applicable</strong></li><li><strong>Works various assigned tasks in billing system</strong></li><li><strong>Assist with assigned projects that pertain to the revenue cycle under the direction of the management team</strong></li></ol>",
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      "description": "<p>Description</p><align-center><u><strong>Description:</strong></u></align-center><align-center><br/></align-center><p><strong>NORCAL Ambulance</strong> is looking to add<strong> energetic</strong>, <strong>passionate and team orientated staff</strong> to our <u><strong>Accounts Receivable team</strong></u>. We are <strong>willing to train the right candidates and experience is not necessary.</strong> </p><p><br/></p><align-center><u><strong>The ideal candidates will have:</strong></u> </align-center><ul><li><strong>excellent oral and written communication skills </strong></li><li><strong>customer service experience to resolve billing problems  </strong></li><li><strong>be hardworking, punctual, accurate, and detail oriented.</strong></li></ul><p><br/></p><p><u><strong>NORCAL is looking for candidates whose responsibilities include but not limited to:</strong></u> <strong>responsible for</strong></p><p><strong>collection efforts, payment posting, medical coding corrections, billing corrections and appeals, claim</strong></p><p><strong>submissions, medical insurance communications, PT billing collections and other duties in our accounts</strong></p><p><strong>receivable department.</strong></p><p><br/></p><align-center><u><strong>Responsibilities:</strong></u></align-center><p><br/></p><ol><li><strong>Work directly with insurance companies and patients to get claims processed and paid</strong></li><li><strong>Customer service, answering phones calls to collect payment and answer question regarding claims</strong></li><li><strong>Initiate collection follow-up of all unpaid or denied claims with the appropriate payor</strong></li><li><strong>Respond to written or electronic payor communications with appropriate action in a timely manor</strong></li><li><strong>Contact insurance companies regarding discrepancies in payments</strong></li><li><strong>Maintain multiple workflows to process claims as efficiently as possible</strong></li><li><strong>Reviewing and appealing denied and unpaid claims</strong></li><li><strong>Assist patients in appealing denied claims</strong></li><li><strong>Prepare and submit claims as needed, and rectify claims in a timely fashion if necessary</strong></li><li><strong>Prepare materials to be sent to insurance companies, as directed</strong></li><li><strong>Keep accurate and detailed notes on all activity</strong></li><li><strong>Understanding of payer guidelines for Medicare, Medi-Cal (and its affiliates), Commercial Insurance, Workers Compensation, and various other insurance carriers</strong></li><li><strong>Maintain strictest confidentiality; adhering to all HIPAA guidelines/regulations</strong></li><li><strong>Collect delinquent accounts by establishing payment arrangements with patients and also follow-up with patients when payment lapses occur</strong></li><li><strong>Sort correspondences and other letters and routes to the most appropriate recipients as applicable</strong></li><li><strong>Works various assigned tasks in billing system</strong></li><li><strong>Assist with assigned projects that pertain to the revenue cycle under the direction of the management team</strong></li></ol><p>Requirements</p><ul><li><strong>Excellent customer service skills</strong></li><li><strong>Medicare, Medi-Cal, commercial insurance knowledge preferred</strong></li><li><strong>Proficient with Microsoft suite</strong></li><li><strong>Excellent attention to detail and the ability to troubleshoot/problem solve</strong></li><li><strong>Critical thinking on every aspect of claim submission</strong></li><li><strong>Ability to work both independently and in a team</strong></li><li><strong>Position is located on-site in Livermore, not a remote position</strong></li></ul>",
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