Payment Recovery Specialist jobs in Vallejo, CA

Payment Recovery Specialist is responsible for analysis of denied reimbursement claims. Ensures appropriate insurance coverage for compliance standards and revenue generation. Being a Payment Recovery Specialist monitors, evaluates, and reviews all cost reporting in support of claims. Coordinates with departments and insurance companies to correct errors as necessary. Additionally, Payment Recovery Specialist requires a bachelor's degree in area of specialty. Typically reports to a supervisor or manager. To be a Payment Recovery Specialist typically requires 4 to 7 years of related experience. Contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. (Copyright 2024 Salary.com)

Recently Added Payment Recovery Specialist jobs

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Payment Specialist I
  • The US Oncology Network
  • Antioch, CA OTHER
  • Overview:
    HOURLY RATE (DEPENDING ON SKILLS/EXPERIENCE):

    $22.14 - $29.82

    SCOPE: Responsible for review of EOBs, posting and managing account payments both in EPIC and Liberty. Audit posted work to ensure accuracy, appropriate reassignment of patient or secondary balances. Troubleshoot and proactively anticipate any potential issues with payment issues and communicating to appropriate parties' issues/resolutions; as well as assisting others with questions/clarifications. Proficiently navigate payer payment systems and payer websites to locate missing EOBs. Responsible for reviewing and adjusting as needed in Epic WQs (credit), distribute monies as appropriate. Help to identify issues and report to supervisor/manager; for potential workflow improvement, EPIC rules to build or edited, etc.

    *HYBRID POSITION*
    Responsibilities:
    ESSENTIAL DUTIES AND RESPONSIBILITIES:
    • Review automated payment/adjustments and/or post line-item payments and adjustments from manual EOBs to patient accounts and reconcile / adjudicate fee schedule variances with approved variance adjustments.
    • Provide information to RCPAYRSUP to allow the research, re-bill, and/or appeals denied/incorrectly/inconsistently paid claims.
    • Identifies consistency in fee schedule allowable differences and communicates up-line for updating.
    • Analyze credits on accounts via credit WQs to determine if refunds should be processed, erroneous and need corrections or distribute monies within 48 hours.
    • Pull daily bank activity for both EPIC and Liberty (DBAs/Lockbox)
    • Perform other various duties/projects as assigned
    • Audit accuracy of payments submitted greater than 95%.
    Qualifications:
    MINIMUM QUALIFICATIONS:
    • High school graduate or equivalent required.
    • 2 years of experience in Billing in Medical Office / Hospital required.
    • 1 year EPIC EMR experience required.
    • Minimum of 1 year payment posting experience in a healthcare setting. Must be familiar with all payer types and payer transaction navigation. Must have good time management skills, verbal and written communication skills, 10-key, word processing and proficient in Microsoft outlook and excel.
    • Certified Medical Reimbursement Specialist CMRS preffered.
    • Certified Medical Insurance Specialist CMIS preffered.


    PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is required to be present at the employee site during regularly scheduled business hours and regularly required to sit or stand and talk or hear. Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination. Requires standing and walking for extensive periods of time. Occasionally lifts and carries items weighing up to 40 lbs. Requires corrected vision and hearing to normal range.
  • 1 Month Ago
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IT Specialist
  • Mt Diablo Resource Recovery
  • Concord, CA FULL_TIME
  • Internal Applicants: please apply by EOD on 4/19/24. Mt. Diablo Resource Recovery is a modern, progressive recycling and resource recovery company with deep roots in local tradition and a clear vision...
  • Just Posted
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Customer Relations Specialist
  • Mt Diablo Resource Recovery
  • Concord, CA FULL_TIME
  • Mt. Diablo Resource Recovery is a modern, progressive recycling and resource recovery company with deep roots in local tradition and a clear vision of its contributions to our community's future. As a...
  • 27 Days Ago
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Loan Processor - Consumer Payment
  • WESTAMERICA BANK
  • FAIRFIELD, CA FULL_TIME
  • DescriptionWestamerica is among the largest commercial banks headquartered in California. We are looking for outstanding people to join our winning team. We reached our current strength because our em...
  • 27 Days Ago
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Ophthalmic Technician / Assistant
  • Eye Specialist Medical Group, Inc
  • Napa, CA FULL_TIME
  • DescriptionAt Eye Specialist of Napa Valley, we have an immediate opening for an Ophthalmic Technician / Assistant to join our growing dynamic team! Ideally, you will have at least 2-3 years of experi...
  • 5 Days Ago
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JBCT Program Director
  • Recovery Solutions
  • Fairfield, CA FULL_TIME
  • You Matter • Make a difference every day in the lives of the underserved• Join a mission driven organization with a people first culture• Excellent career growth opportunities Join us and find a caree...
  • Just Posted
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0 Payment Recovery Specialist jobs found in Vallejo, CA area

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Recovery Specialist CNA - Behavioral Health 116
  • Telecare Corp.
  • Oakland, CA
  • "They made it easier for me to live, breathe, eat, and stay clean. Without them, I'd be waiting somewhere, waiting for s...
  • 4/24/2024 12:00:00 AM
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Manager, climate solutions - enterprise
  • Decarbonize
  • San Francisco, CA
  • LocationSan Francisco, New YorkAbout Watershed Watershed is a software platform for running a world-class climate progra...
  • 4/24/2024 12:00:00 AM
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General Manager
  • El Pollo Loco
  • Vallejo, CA
  • General Manager General Manager Job Summary: Operate a million dollar business! General managers create strategies, lead...
  • 4/24/2024 12:00:00 AM
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Retail Operations Manager
  • Office Depot
  • Vallejo, CA
  • Job Description At Office Depot and Office Max, every leader is responsible for growing total sales and services within ...
  • 4/24/2024 12:00:00 AM
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Principal - Business Continuity/Disaster Recovery Manager - Business Consulting
  • Infosys Limited
  • San Francisco, CA
  • Principal - Business Continuity/Disaster Recovery Manager - Business ConsultingCompanyITL USARequisition ID118082BRSalar...
  • 4/23/2024 12:00:00 AM
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Right Revenue Specialist
  • Medix
  • Oakland, CA
  • A third party RCM in Alameda, CA is looking for a Remote Revenue Specialist to join their team. Must reside in one of th...
  • 4/22/2024 12:00:00 AM
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Recovery Specialist I (On Call) - Mental Health 154
  • Telecare Corp.
  • Castro Valley, CA
  • "They made it easier for me to live, breathe, eat, and stay clean. Without them, I'd be waiting somewhere, waiting for s...
  • 4/20/2024 12:00:00 AM
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Sr. Mortgage Loan Officer
  • Travis Credit Union
  • Vacaville, CA
  • Job Description Job Description 2 POSITIONS AVAILABLE These positions are REMOTE but requires attending occasional staff...
  • 4/20/2024 12:00:00 AM
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About Vallejo, California

Vallejo (/vəˈleɪ(h)oʊ/ və-LAY-(h)oh; Spanish: [baˈʎexo]) is a waterfront city in Solano County, California, located in the North Bay subregion of the San Francisco Bay Area. Vallejo is geographically the closest North Bay city to the inner East Bay, so it is sometimes associated with that region. Its population was 115,942 at the 2010 census. It is the tenth most populous city in the San Francisco Bay Area, and the largest in Solano County. Vallejo sits on the northeastern shore of San Pablo Bay, 30 miles north of San Francisco, the northwestern shore of the Carquinez Strait and the southern e...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Payment Recovery Specialist jobs
$54,408 to $71,586
Vallejo, California area prices
were up 2.5% from a year ago
View detail