Collections Specialist - Healthcare jobs in West Covina, CA

Collections Specialist - Healthcare is responsible for requesting payment and collecting overdue balances from patients. Contacts patients by phone or mail to request payment and to review their account details. Being a Collections Specialist - Healthcare responds to patient questions and sets up alternative pay plans if necessary. Maintains patient account records and resolves third party payer issues. Additionally, Collections Specialist - Healthcare typically requires a high school diploma. Typically reports to a supervisor or manager. The Collections Specialist - Healthcare works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be a Collections Specialist - Healthcare typically requires 1-3 years of related experience. (Copyright 2024 Salary.com)

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Healthcare Collections Specialist
  • Evolve Treatment Centers
  • El Segundo, CA FULL_TIME
  • Evolve Treatment Centers offers cutting-edge intensive outpatient, partial hospitalization, and residential programs for teens ages 12 to 17 struggling with substance use and mental health disorders. We use evidence-based treatment modalities, including Dialectical Behavior Therapy (DBT), Cognitive Behavior Therapy (CBT), and Motivational Interviewing (MI), as well as several experiential therapies. The Associate Therapist training program provides a unique opportunity for clinicians to gain experience working with teens facing acute mental health issues, as well as understanding residential and intensive outpatient settings.
    The Collections Specialist helps accomplish company goals by providing resolution and service to outstanding receivable accounts. The ideal candidate has passion, drive, intelligence and integrity, high attention to detail, professionalism and excellent follow up skills to increase revenue.
    The position requires a thorough knowledge of the healthcare industry and an assertive, effective strategy when working with insurance carriers to get claims paid.
     
    Job Responsibilities and Duties:
    •              Patient Advocate/Parent Follow Up
    •              Paid to Patient/Paid to Deductible/Private Pay
    •              Certified Mail package preparation
    •              SCA (Single Case Agreements)
    •              Provides claim resolution for assigned accounts to increase collections and reduce
                    delinquencies. 

    •              Analyzes Explanation of Benefits and Remittance Advices and ensures claims processed
                    according to members plans. 

    •              Identifies denial reasons and follows appeal process to get claims paid.
    •              Performs high volume collection phone calls to insurance companies.
    •              Access payer online resources to expedite claims follow up and ensure claims are on file
                    and processing. 

    •              Follow EOB protocol, retrieve documentation to ensure paid accounts are closed.
    •              Accesses billing software to analyze rejection reasons and communicate findings.
    •              Communicates billing/coding errors and completes resubmission request.
    •              Identifies and reports changes and trends in carrier guidelines and reimbursement 
                    patterns.

    •              Executes and delivers special projects from management and other duties as assigned.
    •              Corresponds with third party rate negotiation companies to expedite claim process.
    •              Accesses EMR, retrieves medical records and prepares for submission while following
                    protocol and in a timely manner. 

    •              Adheres to documentation protocol, notates accounts and reports appropriately.
    •              Organizes daily and weekly production/action reports in file share.
    •              Participates in companywide and departmental meetings.
    •              Commits to providing excellent customer service while maintaining the highest degree of
                    professionalism while working in a team environment to meet goals. 

    •              Prepare, review, and send client statements.
    •              Understands and complies with all HIPAA rules and regulations.
    •              Office/Facilities and any other duties as assigned.

    Requirements
    •              Experience working in Healthcare as Collections Specialist, plus if experienced in
                    Behavioral Health claims collection.         

    •              3-5 years High Volume corporate Collections experience
    •              Knowledge of Billing and Collections procedures
    •              Experience working with online payer resources.
    •              Excellent phone etiquette and oral communication skills
    •              Experience speaking with Payors.
    •              Experience speaking with families, parents etc. and collecting money.
    •              Accounts Receivable knowledge/experience
    •              Strong attention to detail, goal oriented
    •              Commitment to excellent customer service
    •              Ability to work efficiently within deadlines.
    •              Excellent written and verbal communication abilities
    •              Strong interpersonal skills and ability to work in a team environment.
    •              Ability to prioritize and manage multiple responsibilities.
    •              Adheres to all policies and procedures as outlined in the Employee Handbook
    •              Proficiency in using Microsoft Office products.
  • 10 Days Ago

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Collections Specialist (Remote)
  • Global Healthcare IT
  • Los Angeles, CA FULL_TIME
  • 1.)Prior experience working remotely and using Teams for meetings and communication. 2.) Hospital EPIC experience3.) Ensure they have the appropriate internet access and speed at home Position / Speci...
  • 1 Month Ago

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Collections Specialist
  • Robert Half
  • Reseda, CA PER_DIEM
  • If you're looking for work as a Collections Specialist, and have a strong sense of ownership and attention to detail, you'll be interested in this job opening! To build your career as a finance detail...
  • 17 Days Ago

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Collections Specialist
  • Robert Half
  • Sherman Oaks, CA PER_DIEM
  • Are you a natural leader driven by a strong sense of accomplishment looking for an opportunity as a Collections Specialist? Are you a focused, detail-oriented thinker with a background in accounting, ...
  • 18 Days Ago

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Collections Specialist
  • Robert Half
  • South Gate, CA PER_DIEM
  • Position Summary: The Collections Specialist plays a pivotal role in managing the Accounts Receivable portfolio by minimizing account aging and ensuring timely reconciliation to prevent losses for the...
  • 4 Days Ago

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Collections Specialist
  • Covenant Physician Partners
  • Montebello, CA FULL_TIME
  • Covenant Physician Partners is hiring a Temporary Fulltime Collections Specialist at De La Pena Eye Clinic located in Montebello, CA. This position is a temporary assignment for a duration of 4-6 mont...
  • 7 Days Ago

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0 Collections Specialist - Healthcare jobs found in West Covina, CA area

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Collections Specialist
  • It's Caliber
  • Baldwin Park, CA
  • Job Description Job Description Do you have prior Collections experience? Our client in Baldwin Park is hiring for a pro...
  • 4/23/2024 12:00:00 AM

A
Collections Specialist
  • Adecco Us Inc.
  • Brea, CA
  • Adecco US, Inc. Collections Specialist Brea , California Apply Now Adecco is assisting a local Aerospace company in thei...
  • 4/22/2024 12:00:00 AM

A
Collections Specialist
  • Adecco Usa
  • Brea, CA
  • Adecco is assisting a local Aerospace company in their search for a Collections Specialist in the City of Brea!The Colle...
  • 4/22/2024 12:00:00 AM

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Collections Specialist
  • Ernest
  • Los Angeles, CA
  • For over 77 years, Ernest has been committed to the success of our extended family, our customers, our employees, and th...
  • 4/22/2024 12:00:00 AM

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Collections Specialist
  • Ernest
  • Commerce, CA
  • For over 77 years, Ernest has been committed to the success of our extended family, our customers, our employees, and th...
  • 4/20/2024 12:00:00 AM

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Medical Collections Specialist
  • Ultimate Staffing Services
  • Irvine, CA
  • Medical Insurance Verification Specialist needed for Newport Beach Surgery Center. This is a long term temp role. Must b...
  • 4/19/2024 12:00:00 AM

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Collections Specialist
  • The Adecco Group
  • Brea, CA
  • Adecco is assisting a local Aerospace company in their search for a Collections Specialist in the City of Brea! The Coll...
  • 4/19/2024 12:00:00 AM

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Collections Specialist
  • Ernest Packaging Solutions
  • Los Angeles, CA
  • For over 77 years, Ernest has been committed to the success of our extended family, our customers, our employees, and th...
  • 4/19/2024 12:00:00 AM

West Covina is a city in Los Angeles County, California, located 19 miles (31 km) east of Downtown Los Angeles in the eastern San Gabriel Valley and is part of Greater Los Angeles. The population for the city was 106,098 at the 2010 census....
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Collections Specialist - Healthcare jobs
$45,564 to $56,882
West Covina, California area prices
were up 3.2% from a year ago

Collections Specialist - Healthcare in Augusta, GA
We are seeking a dedicated Medical Billing & Collections Specialist for our Billing Center.
December 16, 2019
Collections Specialist - Healthcare in Chicago, IL
Candidates with prior experience in medical terminology, accounts receivable, insurance collections or billing always stand out from other applicants.
December 13, 2019
Collections Specialist - Healthcare in Tuscaloosa, AL
Your responsibility is to help patients, insurance companies, and hospitals navigate the complexities of the endless regulations related to the business side of healthcare.
November 28, 2019