Located in the heart of the Coachella Valley, you have access to resort-style living and world-class amenities throughout Southern California.
Performs account review, follow-up, and collections, including double recoupment, correspondence, and credit balance resolution.
Job Description:
Responsible for managing billing and collections processes, ensuring accurate account review and follow-up with payers and patients.
Education:
Required: High school diploma, GED or higher
Licensure/Certification:
N/A
Experience:
Required: One (1) year of billing/collections experience, billing certification, or prior successful internship/temporary assignment in a patient financial services setting.
Preferred: Experience with managed care and Medicare/Medi-Cal billing regulations.
- Ensure compliance with Code of Conduct and policies, reporting any violations.
- Manage new accounts daily, working within Receivables Workstation and coordinating with other departments to process or resolve claims.
- Contact patients and guarantors to solicit payments and promote account resolution.
- Follow up on all accounts in the queue daily, including contacting payers and reviewing online claim statuses.
- Manage account inventory timely to facilitate payment and resolution.
- Stay current on payer requirements by reviewing bulletins, handbooks, and websites.
- Process incoming correspondence, including denials, prior authorizations, and additional information requests.
- Record new insurance plans and process new accounts according to policies.
- Maintain accurate notes in electronic files regarding account status and issues.
- Escalate issues to leadership as needed and keep them informed of changes or problems.
- Assign and track status codes for accounts to assist with reporting and audits.
- Manage credit balances daily, preparing adjustments or refunds as needed.
- Handle special projects such as high-dollar accounts as directed.
- Attend training on billing regulations, compliance, and related topics.
- Maintain productivity standards per payer assignments.
- Perform other duties as assigned.
- Interpret payer contracts, federal, and state regulations.
- Prioritize tasks efficiently to meet deadlines and manage multiple projects.
- Provide excellent customer service and problem-solving skills.
- Possess knowledge of medical terminology and basic office equipment.
- Operate database systems and internet applications competently.
- Strong Windows skills and keyboarding proficiency.
- Knowledge of claims management software.
Benefits:
Eisenhower Health offers a comprehensive benefits package and a matched retirement plan. Employees can participate in programs designed to support their well-being and professional growth.
Work Culture:
Our organization is built on strong values, commitment, and a passion for service and excellence. We foster an inclusive environment that supports evidence-based practice.
Testimonial from Our Nurses:
Lori: "One of my favorite things about working at Eisenhower Health is the culture of inclusivity and strong support for evidence-based practice."
Another Nurse: "The support from administration and continuous process improvements make this a fantastic workplace."
Another Nurse: "The camaraderie within my unit and across departments is what I love most about working here."
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