Collections Specialist - Healthcare jobs in Newhall, CA

• 1.)Prior experience working remotely and using Teams for meetings and communication.

2.) Hospital EPIC experience
3.) Ensure they have the appropriate internet access and speed at home

Position / Specialty: Administrative/Revenue Cycle
Years of experience REQ: Minimum 3 to 5 years Epic experience and Hospital experience
Weekend REQ: Typically M-F Schedule, weekends occasionally may be needed depending on department need.
Locals accepted: Yes
Guaranteed Hours: Typically 40 hours/week, OT depending on department need:

100% REMOTE, but applicant must reside in PST | TEMP ASSIGNMENT
Revenue Cycle Account Receivable Representative

Revenue Cycle Account Receivable Representative Job Description
Responsibilities for hospital billing with EPIC experience

• The RC Accounts Receivable Representative must have a thorough knowledge of government, commercial, HMO,PPO and other types of insurance billing guidelines in multiple states demonstrate effective judgment when processing all claims.
• Understand reimbursement practices for all payers.
• Work with payers to obtain accurate reimbursement and to help identify and correct fee schedule load errors or misinterpretations
• Understands insurance eligibility and coverage benefits.
• Update coverage and ensure claims are resubmitted to payers.
• Review insurance plan guidelines against the patient account and records to determine issues that delay claim from processing correctly.
• Effectively resolves assigned work queues accounts and completes account follow up activities including: obtaining claim status, responds to insurance company and other authorized third-party inquiries, including return of calls and research needed to bring account to final resolution.
• Completes all necessary research and account follow-up activities to resolve inquiries. Ensures that the resolution completed meets the department's standards.
• Evaluate late charges (adjustments vs billing)
• Research accounts via payer websites by confirming claim, itemized bills, medical records, and appeal receipt.
• Perform underpayment reviews and process adjustment to ensure accounts are closed after payments are posted.
• Write dispute and appeals for underpayment accounts.

Qualifications for hospital billing

• Minimum five experience as an Account Representative in a hospital setting.
• EPIC experience with Epic -3 to 5 yrs
• Strong knowledge/experience in hospital billing and account workflows and processes is required.
• Working knowledge of key areas of the healthcare billing and collections practices including claim and appeals requirements.
• Working knowledge of payer contracts
• Experience commercial collections/denials and with payors such as

BlueCross, Aetna, Medicare/Managed Care, Med-Cal/Managed Care)

• Able to work in a Remote environment.

Skills for Accounts Receivable / Billing

• Medicaid
• Medicare
• Billing
• Blue Cross
• Commercial insurance, PPO,HMO carriers
• Division of Responsibility (DOFR)
• EPIC system
• Federal and state regulations
• Insurance coverage
• Medical terminology

• COVID-19 Vaccine (Facility Guideline): Required - Medical/Religious Exemptions Only

• Flu Vaccine (Facility Guideline): Unknown

Job Type: Full-time

Pay: $20.00 - $24.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Weekly day range:

• Monday to Friday

Work setting:

• Hybrid work
• Office

Experience:

• Hospital: 1 year (Required)
• Ability to work remotely: 1 year (Required)
• Epic: 1 year (Required)
• Medical Collections: 1 year (Required)

Ability to Relocate:

• Los Angeles, CA 90048: Relocate before starting work (Required)

Work Location: Hybrid remote in Los Angeles, CA 90048