Collections Specialist Hospital - Business Office - Full Time - Days - 8hr

Performs account follow up from third-party payers, including commercial insurance carriers, HMOs, PPOs, and others, for collections, appeals, billing, adjustments, and managing denials. Works on complex projects as assigned by management.

Requirements

• High School diploma or equivalent
• Bilingual Spanish preferred
• Three years' billing experience preferred
• Experience in acute hospital setting with managed care contract and appeals/underpayment collection activities
• Excellent customer service skills
• Knowledge of collection techniques and collection laws (AB1455, Knox-Keene Act, Health & Safety Codes, etc.)
• Knowledge of medical terminology and CTP/HCPS codes
• Knowledge of networks, IPA's, HMO's, PPO's and PCP's and contract affiliations
• Strong analytical skills, proficient with spreadsheets