Robert Half • Sacramento, CA 94278
Job #2678106509
Description
A large hospital system is in need of a Medical Collector/Insurance follow-up specialist. The Medical Collector/Insurance follow-up specialist will be directly supporting the organization by conducting insurance collections for its many Acute Medical Facilities.
2-3 years of hospital insurance follow up, including utilization of phone calls and online payer portals
Experience with HMO & PPO insurance follow up
Utilization of worklist based follow up workflow
Ability to work with numerous systems (i.e., patient accounting, worklist management, electronic billing, payer portals)
Daily/weekly productivity and quality audit metrics
Multi-hospital insurance follow up
Denial review and appeal letter writing
Requirements - Prefer 2 years experience in medical billing or within the revenue cycle
High school diploma or equivalent required
Working knowledge of practice management software
Deep understanding of Third Party Payer
Previous experience working with medical billing
Experience with government agencies & programs
Solid understanding of procedures
Solid understanding of Corporate Headquarters
Expertise in Precedents
Quality experience with Coding
Well-founded grasp of Claim Administration
Earlier work involving Reimbursements
Hands-on experience with Vaccines
Foundational knowledge in Medical Coverage
Proven knowledge of Collection Processes
Proficiency in Workstation Support
General familiarity with credit
Foundational knowledge in mumps
Comprehension of Payer
Good understanding of Appeals
Billing experience
Quality experience preferred
Skills in Debit Credit
Prior experience with Write Offs
Practical knowledge of productivity
Solid understanding of Vaccinations
Wide ranging experience with Adjustments
Deep knowledge of explanation of benefits (EOBs)
Outstanding data entry skills
Strong proficiency with Microsoft Office applications, specifically Word, Outlook and internet applications
Strong communication and social skills
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All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit ~~~ for more information.
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