Medical Collections Specialist

US-CA-Santa Ana
2 weeks ago(11/30/2017 1:03 PM)
Job ID
2017-1181
# of Openings
1
Category
Finance, Revenue Cycle

Overview

Your passion makes the difference!

 

The Planned Parenthood of Orange and San Bernardino Counties team consists of medical professionals, health educators, advocacy and corporate positions all working together to provide the community with high quality health care and education, regardles of personal circumstance or ability to pay.

 

We are lookin for passionate indviduals that value reproductive rights and who are eager to make positive contributions to the community and our misison.

 

Planned Parenthood of Orange and San Bernardino Counties has a full-time opportunity Medical Collection Specialist.

 

 

Benefits include:

Generous vacation, sick and paid holiday benefits

Comprehensive benefits package; including 401(k) matching contributions up to 8%

Responsibilities

Medical Collections Specialist at PPOSBC and Melody Women’s Health assures timely reimbursement of clean claims, corrects denied claims, appeals denied or delayed claims with specific payers in order to receive reimbursement for healthcare claims.

Responsible for entering, and correcting medical claims (CPT, CPT II, HCPCS, ICD-9) into a computer system and generating invoices to be sent to the health plans.

Responsible for compiling and updating revenue cycle management on payer billing and regulatory updates, NCCI updates for Medicaid, Medicare and health plans.

Medical Billing Specialist’s work is focused on all high volume facilities, top 20 payers, and on State Of California’s health programs.

Qualifications

Three years of experience as a medical biller/claims follow-up specialist or collections specialist in an outpatient medical setting (non-hospital) in primary care (required), family planning, ob-gyn, and related surgeries.

Medical terminology.

Anatomy.

Associate’s or Bachelor’s Degree preferred or equivalent experience in related field.

Computer database management (electronic practice management system). EclinicalWorks/NextGen experience preferred.

3+ years experience in Billing and coding procedures.

3+ years experience with insurance billing and reimbursement procedures.

2+ years’ experience with HIPAA 5010 transaction standards.

2+ years claims follow-up/appeals and health plan Accounts Receivable management for specific payers.

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