Collections/Auditing Billing Specialist Part-Time

Neurological Office located in Mission Viejo is looking to add a Part-Time Collections/Audit specialist to our growing team. Must be detailed-oriented and have well-documented prior experience in managing denied and accepted medical claims from private insurance, work-comp, PI attorneys. . .etc.

The following duties and responsibilities generally reflect the expectations of this position but are not intended to be all inclusive.

• This individual will be responsible for debt collections, which requires the ability to interface with clients in a professional and courteous manner on the phone and in writing.
• Initiate collection follow-up of all unpaid or denied claims with the appropriate payer to prevent write offs and timely filing denials.
• Research, appeal, and resolve claims rejections, underpayments, and denials with appropriate payer within payer specified deadlines.
• Responds to payer communications, taking appropriate action within specified deadlines.
• Check claim status using payer internet websites and performs appropriate action to ensure claims are resolved.
• Process Statements and make calls for patient collections as needed
• Develop and maintain positive working relationships with teammates and payers.
• Other duties as assigned
• Consistent, regular, punctual attendance as scheduled is an essential responsibility of this position

Qualifications

Education, licenses, certifications, and experience required to fulfill the essential duties, include computer skills as required

• High school diploma or equivalent required
• Minimum of 2 years of experience in collections/ Accounts Receivable required; healthcare or insurance experience strongly preferred
• Debt collections
• Knowledge of Insurance appeals, Claim rejections, Denials from insurance
• Billing and coding experience

All your information will be kept confidential according to EEO guidelines.