Associate Medical Collection Representative

St. Joseph Heritage Healthcare (SJHH) is one of California's most respected medical groups. With over 2,000 employees and 25 locations throughout California, including, Northern California, Orange County, High Desert and Los Angeles County, SJHH has been continually recognized as a leader in quality, customer service and information technology. This kind of success is the result of team work, a commitment to excellence and a strong adherence to the organization's mission, vision and values.Job Summary:
Under the direction of the Business office Supervisor the Collection Support Specialist will support the Patient Account Counselor's in working the accounts receivable to maximize reimbursement.
Essential Functions:
Tracks the basic denials, e.g. eligibility, to identify issues and escalates to the Supervisor for systematic
resolution with the appropriate department.
Bills and rebills secondary payer claims with appropriate documentation. Responsible for mailing paper
claims.
Works the lower dollar invoices in assigned area to secure reimbursement for services provided. Ensures
account information is accurate by updating registration and insurance data.
Answers phone, returns all calls and resolves any issues promptly.
Supports the collection process in assigned area by faxing requests to the payers, scanning documents,
pulling batches for claim research, sorting incoming mail, processing patient bad addresses, tracking site
requests, or verifying if Share of Cost has been met (Medi-Cal patients) to prepare the claim for billing.
Meets quality assurance and productivity standards. Works in Bar or PCS work file as assigned.
Handles multiple patient, site, and payer incoming calls and responds to each call in an efficient, effective,
and professional manner. In addition, covers for customer service phones and front desk walk-in patients as needed.
Balances and closes batches in a timely manner.
Supports the billing process in assigned area by processing adjustments for Senior Wellness claims or transferring secondary claims to the secondary FSC for monthly adjustment.
Minimum Position Qualifications:
Education:
High School Diploma (or equivalent) required
Experience:
Requires 1 year medical billing and or collection experience in a healthcare setting with data entry skills.
Computer Skills:
Basic computer skills
Other:
Minimum-typing skill of 45 wpm
Experience with office machines including fax and photocopier.
Knowledge / Skills / Abilities:
Excellent telephone etiquette
Effective written and verbal communication skills
Must have a professional and mature demeanor
Ability to maintain confidentiality of sensitive information.
Excellent organizational skills and ability to prioritize tasks/projects.
Ability to work in a fast-paced department and handle multiple tasks, work with interruptions
Preferred Position Qualifications:
Experience:
Coding Knowledge (CPT/ICD9/HCPS) highly desirable.
Previous experience in electronic billing format.
Computer Skills:
Knowledge of Microsoft Word and Windows.
IDX/GE experience is highly desirable
Other:
Medical Terminology
Bi-lingual (English/Spanish) a plus

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