1 Healthcare Collections Specialist Job in El Segundo, CA
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Evolve Treatment Centers is Hiring a Healthcare Collections Specialist Near El Segundo, CA
• Patient Advocate/Parent Follow Up• Paid to Patient/Paid to Deductible/Private Pay• Certified Mail package preparation• SCA (Single Case Agreements)• Provides claim resolution for assigned accounts to increase collections and reduce
delinquencies. • Analyzes Explanation of Benefits and Remittance Advices and ensures claims processed
according to members plans. • Identifies denial reasons and follows appeal process to get claims paid.• Performs high volume collection phone calls to insurance companies.• Access payer online resources to expedite claims follow up and ensure claims are on file
and processing. • Follow EOB protocol, retrieve documentation to ensure paid accounts are closed.• Accesses billing software to analyze rejection reasons and communicate findings.• Communicates billing/coding errors and completes resubmission request.• Identifies and reports changes and trends in carrier guidelines and reimbursement
patterns.• Executes and delivers special projects from management and other duties as assigned.• Corresponds with third party rate negotiation companies to expedite claim process.• Accesses EMR, retrieves medical records and prepares for submission while following
protocol and in a timely manner. • Adheres to documentation protocol, notates accounts and reports appropriately.• Organizes daily and weekly production/action reports in file share.• Participates in companywide and departmental meetings.• Commits to providing excellent customer service while maintaining the highest degree of
professionalism while working in a team environment to meet goals. • Prepare, review, and send client statements.• Understands and complies with all HIPAA rules and regulations.• Office/Facilities and any other duties as assigned.Requirements
• Experience working in Healthcare as Collections Specialist, plus if experienced in
Behavioral Health claims collection. • 3-5 years High Volume corporate Collections experience• Knowledge of Billing and Collections procedures• Experience working with online payer resources.• Excellent phone etiquette and oral communication skills• Experience speaking with Payors.• Experience speaking with families, parents etc. and collecting money.• Accounts Receivable knowledge/experience• Strong attention to detail, goal oriented• Commitment to excellent customer service• Ability to work efficiently within deadlines.• Excellent written and verbal communication abilities• Strong interpersonal skills and ability to work in a team environment.• Ability to prioritize and manage multiple responsibilities.• Adheres to all policies and procedures as outlined in the Employee Handbook• Proficiency in using Microsoft Office products.
Job Summary
Full Time
Ambulatory Healthcare Services
$45k-57k (estimate)
04/13/2024
04/25/2024
evolvetreatment.com
TARZANA, CA
25 - 50
2014
$10M - $50M
Ambulatory Healthcare Services
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About Evolve Treatment Centers
Evolve Treatments Centers provides innovative and cutting edge treatment tailored specifically for teens struggling with addiction and mental health issues. We understand that teens require care and professional treatment that addresses their unique physical, mental, emotional, and spiritual development levels. We recognize that every adolescent is a wellspring of potential. By maximizing this potential, we empower our clients to harness their passion, set healthy goals, and create a personal vision of happiness.
The job skills required for Healthcare Collections Specialist include Customer Service, Billing, Accounts Receivable, Microsoft Office, Attention to Detail, Verbal Communication, etc. Having related job skills and expertise will give you an advantage when applying to be a Healthcare Collections Specialist. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Healthcare Collections Specialist. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Healthcare Collections Specialist positions, which can be used as a reference in future career path planning. As a Healthcare Collections Specialist, it can be promoted into senior positions as a Collections Representative III that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Healthcare Collections Specialist. You can explore the career advancement for a Healthcare Collections Specialist below and select your interested title to get hiring information.
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