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We are in search of a diligent Medical Collections Specialist to join our team in Sacramento, California. In this role, you'll be responsible for managing medical collections and ensuring accurate record-keeping. This opportunity provides a contract to permanent employment option.
Job Responsibility:
Ensure accurate and efficient processing of medical collections
Uphold comprehensive records relating to patient accounts and collections
Proficiently read and understand medical contracts to determine the permitted amount
Display a strong comprehension of insurance products such as HMO, PPO, and Medicare Advantage plans
Exhibit strong skills in writing appeals and effectively work with insurance companies to resolve denied or underpaid claims
Comfortably communicate with patients regarding their balances and explain adjudication outcomes
Apply analytical skills to make sound decisions on claim resolutions
Exhibit efficiency in managing a fast-paced, high volume work environment, while maintaining quality and meeting production goals
Foster a team-oriented environment and excel in achieving set objectives
Requirements:
Proficiency in Medical Collections is a must
Familiarity with Medical Terminology is required
Demonstrable knowledge of Medical Terminology is essential
Experience in handling Claim Denials is necessary
Understanding of the HealthCare Revenue Cycle is crucial
Knowledge of HealthCare Reimbursement is a significant requirement
What we offer:
medical, vision, dental, and life and disability insurance