Account Specialist - Full Time, Days (Remote)
Orange, CA Orange, CA Full-time Full-time Estimated:
$40.
1K - $50.
8K a year Estimated:
$40.
1K - $50.
8K a year The Account Specialist is responsible for the collection of outstanding patient accounts from various insurance companies.
Overcomes barriers to assure timely and correct payment.
Understands managed care contracts to ensure prompt and accurate reimbursement.
Conducts appropriate account activity on final billed claims by contacting government agencies, commercial insurance payers, third party payers, and patients/guardians via phone, email or on-line.
Ensures that issues with accounts are clearly articulated, and completes the correct steps to get the account corrected, paid, and closed.
Ensures daily productivity standards of assigned accounts are met.
Maintains inventory with no back-log.
Prioritizes assigned tasks and conducts the appropriate follow through.
Responds effectively to questions regarding collection accounts and provides an accurate explanation of status.
Reviews contracts and ensures that accounts are adjusted and/or paid correctly.
When appropriate, requests re-bills, secondary billing, corrected billing and/or adjustment to accounts.
Ensures identified issues are properly documented in notes.
Recognizes potential delays with payor so that corrective actions can be taken.
Obtains information, as needed, from appropriate internal sources.
Responds in a timely manner to avoid AR aging.
Submits accurate and timely written technical appeals, as needed.
Escalates payment delays/problem accounts to supervisor in a timely manner.
Minimum Education:
High School Diploma or GED required.
Minimum
Experience:
Understanding of Managed Care Payer Contracts and contract language required.
Excellent written and verbal communication skills in English required.
Ability to multitask and maintain a work pace appropriate to workload required.
Computer literacy and proficiency required.
Must demonstrate customer service skills appropriate to the job required.
Minimum of two (2) years hospital billing and collecting experience in an automated environment preferred.
Previous Healthcare Experience preferred.
Req.
Certification/Licensure:
None.
.
Estimated Salary: $20 to $28 per hour based on qualifications.
$40.
1K - $50.
8K a year Estimated:
$40.
1K - $50.
8K a year The Account Specialist is responsible for the collection of outstanding patient accounts from various insurance companies.
Overcomes barriers to assure timely and correct payment.
Understands managed care contracts to ensure prompt and accurate reimbursement.
Conducts appropriate account activity on final billed claims by contacting government agencies, commercial insurance payers, third party payers, and patients/guardians via phone, email or on-line.
Ensures that issues with accounts are clearly articulated, and completes the correct steps to get the account corrected, paid, and closed.
Ensures daily productivity standards of assigned accounts are met.
Maintains inventory with no back-log.
Prioritizes assigned tasks and conducts the appropriate follow through.
Responds effectively to questions regarding collection accounts and provides an accurate explanation of status.
Reviews contracts and ensures that accounts are adjusted and/or paid correctly.
When appropriate, requests re-bills, secondary billing, corrected billing and/or adjustment to accounts.
Ensures identified issues are properly documented in notes.
Recognizes potential delays with payor so that corrective actions can be taken.
Obtains information, as needed, from appropriate internal sources.
Responds in a timely manner to avoid AR aging.
Submits accurate and timely written technical appeals, as needed.
Escalates payment delays/problem accounts to supervisor in a timely manner.
Minimum Education:
High School Diploma or GED required.
Minimum
Experience:
Understanding of Managed Care Payer Contracts and contract language required.
Excellent written and verbal communication skills in English required.
Ability to multitask and maintain a work pace appropriate to workload required.
Computer literacy and proficiency required.
Must demonstrate customer service skills appropriate to the job required.
Minimum of two (2) years hospital billing and collecting experience in an automated environment preferred.
Previous Healthcare Experience preferred.
Req.
Certification/Licensure:
None.
.
Estimated Salary: $20 to $28 per hour based on qualifications.
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