Medical Collections Specialist

Modesto, CA 95355

Posted: 12/07/24 Employment Type: Temp To Hire Job Category: Office - Customer Service Job Number: 10512

Job Description

Medical Collections
Temp to Hire 6 months+
Modesto, CA
Comp: $18-27/hr


Local hospital is seeking a long term temporary - with possible temp to hire MEDICAL COLLECTIONS SPECIALIST. Working in this welcoming, small team - you'd be contacting insurance companies, and working with Physician offices and patients to resubmit appeals for medical claims.

Job Duties:
  • Review Aging Report monthly for all designated accounts to assess outstanding balances.
  • Conduct follow-up activities monthly on all designated accounts to expedite payment and resolve outstanding balances.
  • Resolve denials efficiently and effectively.
  • Maintain up-to-date follow-up on accounts and diligently work towards resolution, adhering to Collections Guidelines.
  • Document detailed actions taken on all accounts for comprehensive tracking and reporting purposes.
  • Prioritize accounts for follow-up based on Collections Guidelines, ensuring timely resolution.
  • Review and resolve all correspondence related to accounts receivable.
  • Handle incoming phone calls from patients and insurance companies regarding billing inquiries.
  • Contact patients to facilitate communication with their insurance company when necessary information is requested.
  • Review denials, prepare and submit appeals as required.
  • Maintain comprehensive knowledge of all insurance contracts to facilitate accurate billing and collections.
  • Prepare Billing Packets for various services, including Inpatient, Outpatient, Observation, Physical Therapy, Radiology, Laboratory, and Physician Assistant, ensuring accuracy and completeness.
  • Match vendor invoices with bill packets and verify charged amounts for accuracy.
  • Add modifiers in Thrive UX system as necessary for accurate billing.
  • Bridge all electronic claims to billing software for streamlined processing.
  • Correct claim rejections within billing software.
  • Print and match paper claims for submission.

Qualifications:
  • High school diploma or equivalent
  • 1+ years of experience in medical billing and collections preferred.
  • Proficiency in medical billing software, particularly Waystar, is highly desirable.
  • Strong understanding of insurance contracts, billing guidelines, and medical terminology.
  • Excellent communication skills, both written and verbal.

 

Job Requirements

Medical Collections

Meet Your Recruiter

Candace Abell
Sr. Staffing Consultant

Born and raised in Fresno, Candace has been a Central Valley girl from the start. She attended Fresno State University and was a member of Kappa Kappa Gamma Sorority. After relocating to Modesto, Candace started her family and her career in health care staffing. Candace knew almost instantly that she had found her calling- finding the right person for the perfect practice! Candace has been a pillar in the AVAILABILITY office since 2007. She leads the healthcare services placement division and brings over 30 years experience in health care placement. When Candace isn’t finding “just what the doctor ordered” she is visiting and enjoying her 5 grandchildren, gardening, wine tasting, walking, listening to music and just being with family and friends.

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About Modesto, CA

Ready to embark on an exciting career journey? Explore our job opportunities in the vibrant area surrounding Modesto, California! Known for its rich agricultural history, charming downtown area, and easy access to outdoor adventures, Modesto is the perfect place to grow both personally and professionally. From the iconic McHenry Mansion and the eclectic Gallo Center for the Arts to the delicious farm-to-fork cuisine and the excitement of being close to Yosemite National Park and the Stanislaus River, Modesto offers a unique blend of culture, cuisine, and nature. Join our team today and discover why working in the Modesto area is an opportunity you won't want to miss!