What are the responsibilities and job description for the Billing Specialist/Account Receivables/Collection Representative position at A.P.R., Inc. (AlphaProTemps)?
Position Summary & Essential Duties & ResponsibilitiesReview hospital accounts receivable aging reports and prioritize collection efforts.Contact insurance carriers to collect outstanding balances and resolve issues.Knowledge in follow up for institutional claims ( UB04)Investigate and appeal denied or underpaid claims to maximize reimbursement.Coordinate with other departments such as billing team to resolve discrepancies.Document all collection activities in the hospital’s systemEnsure compliance with HIPAA, hospital policies, and state/federal regulations.Obtaining Eligibility via website/insurance portals, insurance customer service Required QualificationsHigh school diploma or GED required.1–3 years in hospital accounts receivable, medical collections follow up, or healthcare collections.Knowledge of hospital billing processes, CPT/ICD codes, and DRG reimbursement.Familiarity with payer guidelines such as Medicare, Medi-Cal and commercial payersStrong communication skills for payer interactions.Proficiency in hospital billing and follow up systems and Microsoft Office.Attention to detail and ability to analyze claim denials and payment variances. Preferred SkillsExperience working in a medical front office or outpatient settingEMR experiencePatient scheduling experienceStrong organizational, communication, and multitasking skillsAbility to work independently and with clinical staff in a supportive manner Company DescriptionAlphaProTemps is specialized in providing "best-in-class" professional staff augmentation services. These recruiting directives include temporary labor, contract sourcing, professional & technical niches, vendor-on-site, and managed service programs.
Salary : $21 - $24