We are currently hiring a skilled and motivated Insurance Collector I for a well-known health facility in the area Bakersfield, CA. You will research and secure payment for managed care accounts within the billing department. Utilize billing, collecting, research, correspondence, and independent problem-solving skills of account errors within company standards and timeframes. Reconcile complex multi payment accounts as necessary.

Job Duties:

·         Perform the adjustments, refunds etc. common with billing knowledge to bring account to zero balance within established timeframes.

·         Follow up on required daily accounts based on assigned practice and/or payer to reduce the A/R and maintain company Key performance indicators (KPI).

·         Submit appeal letters on unpaid and underpaid claims applications.

·         Prioritize work to minimize interruptions and increase efficiency in collections process.

·         Prepare and submit weekly & monthly AR summary of activity report for all assigned practices/payers to department manager with detailed action plans and/or unresolved issues.

·         Establish and maintain an efficient filing system for company employed provider group and payor contracts.

·         Perform retrospective audits of new self-pay accounts to update demographic information.

·         Participate in accounts receivable collection campaigns as needed to meet department goals.

·         Notify the contracted billing company of the payor of written refund requests. Services accounts where the company has a request for a patient refund. Prepares paperwork for the refund approvals.

Additional Duties

·         HIPAA compliance - Responsible for enforcing compliance with all HIPAA regulations and requirements. Treats all member information confidential.

·         Compliance - Ensure compliance with all local, state, and federal regulations.

·         QA/QI - Participate in QA/QI activities and contribute towards the overall performance improvement of the organization.

·         IT - Required to learn and use the Electronic Health and Practice Electronic System and its components as required by the job functions and highlighted in the Policies and Procedures.

·         All employees will participate in Patient Centered Home Health Model.

Qualifications, Education, and Experience Education:

·         High school diploma or GED

·         Experience:

·         Minimum of one year billing and accounts receivable experience in a physician practice environment

 

Skills:

·         Proficiency and accuracy with multiple office tools and software.

·         Accurate data entry skills with the ability to input data into computer systems, compile statistics, and generate reports.

·         Ability to work under pressure.

·         Ability to demonstrate effective communication skills with providers and management staff.

·         Ability to draft and implement collection letters.

·         Proficient with excel and other Microsoft office products.

·         Knowledge payor contracts.

Hiring Requirements: 

• Valid identification that proves your right to work in the United States 
• As a condition of employment, you may be required to pass a drug screen and background check 
• Call us today at 661-393-9700 to discuss your work experience 
• Register at www.exactstaff.com/register 

EXACT STAFF is an E-Verify employer. All offers of employment are conditioned upon presenting identification proving identity and the legal right to work in the U.S. Exact Staff is an equal opportunity employer. We are dedicated to ensuring that all decisions regarding terms, conditions and privileges of employment are in accordance with our principles of equal opportunity. We will not discriminate against employees or applicants on the basis of race, color, national origin, ancestry, religious creed or religious beliefs, age, sex, marital status, medical condition, pregnancy, childbirth or related medical condition, sexual orientation, gender identity or expression, physical disability, mental disability, citizenship, military status, protected genetic characteristics, or any other characteristic protected by state or federal law or local ordinance. We comply with the ADA and applicable state and local laws and consider reasonable accommodation measures that may be necessary for eligible applicants to perform essential functions of the job. Hire may be subject to passing a medical examination, skill and agility tests. LOS ANGELES APPLICANTS: Exact Staff will consider for employment qualified Applicants with Criminal Histories in a manner consistent with the requirements of Article 9 to Chapter XVIII of the Los Angeles Municipal Code