Collections Specialist Hospital - Business Office - Full Time - Days - 8hr

About the role

Current Emanate Health Employees - Please log into your Workday account to apply Everyone at Emanate Health plays a vital role in the care we deliver. No matter what department you belong to, the work you do at Emanate Health affects lives. When you join Emanate Health, you become part of a team that works together to strengthen our communities and grow as individuals. On Glassdoor's list of "Best Places to Work" in 2021, Emanate Health was named the #1 ranked health care system in the United States, and the #19 ranked company in the country. J ob S u mma r y Performs account follow up from third-party payers including traditional commercial insurance carriers, Health Maintenance Organizations (HMO), Preferred Provider Organizations (PPO), EPO's, International Payers, Auto Liability and other Liability carriers, and all other non-governmental third-party payers. Duties include collections, appeals, billing, adjustments, EOB review, correspondence and managing all types of denials. Works on special complex high priority projects as assigned by management. Job Requirements M ini m um E du ca ti o n Re qui reme nt: High Sc ho ol d ipl o ma o r e q uiv a le n t, or work experience in lieu of High School Diploma. B ili ng u a l S p a n ish p ref e rr ed. M i n i m um E x p er i e n c e Re qui reme nt: Thr e e y e ars' billi n g e x p erie n ce is pr e ferre d. Experience within an acute hospital setting, with strong emphasis on managed care contract and appeals/underpayment collection activities. Exc e lle n t c u stomer s e rvice skills. Knowledge of collection techniques and collection laws (i.e. AB1455, Knox-Keene Act, Health & Safety Codes, etc.). Knowledge of medical terminology and CTP/HCPS codes. Knowledge of networks, IPA's, HMO's, PPO's and PCP's and contract affiliations. Strong analytical skills, proficient with spreadsheets. M ini m um Li ce n s e Re qui reme nt: None. Delivering world-class health care one patient at a time. Pay Range: $24.15 - $36.47