Collections Representative

  • Location: Whittier, California
  • Type: Contract
  • Job #76639

APR Consulting, Inc. has been engaged to identify a Collections Representative

Location: Whittier, CA 90602
Position:  Collections Representative
Pay Rate: $ 27.14/hr.
Duration: 13 weeks
Expected Shift:  8:00AM – 5:00PM

POSITION SUMMARY
Works under the supervision of the Billing and Collection Supervisor. Analyzes and interprets Managed Care contract language, terms, conditions, and responsibility matrices. Performs telephone and written follow-up with patients, insurance companies, third party payers, worker’s compensation payers, medical groups, outside hospitals and physician’s offices to ensure timely payments. Has a strong understanding of CMS regulations, Managed Care and insurance company payment principles, rules, and regulations. Is knowledgeable with the use of appropriate HCPCS, CPT 4 codes, Modifiers, ICD9 and ICD10 codes. Understands the billing and payment follow up time limits set forth by Medicare, payer contracts and has the knowledge of insurance billing rules and regulations. Has the ability to utilize multiple hospital systems.

EDUCATION/EXPERIENCE/TRAINING
• High school graduate
• Previous experience working in an acute hospital patient account setting
Minimum of 2 years’ experience in hospital collections required
• Customer service experience.

DUTIES AND RESPONSIBILITIES
1. Safeguards and preserves the confidentiality of patient’s protected health information in accordance with State and Federal (HIPAA) regulatory requirements, hospital, and departmental policies.
2. Ensures a safe patient environment and adherence to safety practices per policy.
3. With consideration to age, employee utilizes the approved process to resolve biophysical, psychological, educational, and environmental needs of patient/significant other when administering care.
4. Audits and analyzes accounts to determine proper insurance reimbursements and contractual allowances.
5. Maintains portfolio of all accounts with the ability to meet the daily productivity standard.
6. Follows-up with payers documenting the patient accounts systems with concise information for account resolution.
7. Pursues underpayments and complete appeals, when necessary, in a timely manner providing accurate information to payer.
8. Reviews and analyzes denied claims to determine appropriate action, accurately requesting the correct contractual adjustment according to our Commercial and Managed Care contracts.
9. Responds timely to insurance correspondence.
10. Reviews insurance refunds processing the appropriate adjustments to assure account balance is accurate when the refund is processed.
11. Skilled in the usage of various computer systems (Meditech, TRAC) and other available tools (APC and APR/MS DRG). Allscripts/SFM, NThrive/Claims Management a plus.
12. Keeps current AB774 regulations regarding billing/collections.
13. Performs other duties as assigned.

This particular client is requiring that all new hires show proof of vaccination. However, accommodations may be made for those with disabilities or religious reasons who cannot obtain a vaccine.
 
Since 1980 APR Consulting, Inc. has provided professional recruiting and contingent workforce solutions to a diverse mix of clients, industries, and skill sets nationwide.
 
We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.
 
Don't miss out on this amazing opportunity! If you feel your experience is the match for this position please apply today and join our team. We look forward to working with you

#SLA

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About APR Consulting
APR Consulting, Inc., is one of the most trusted talent acquisition and workforce solutions providers in the United States. Known for exceptional responsiveness, agile strategies, and consistently high-level talent, the firm has become a go-to for organizations and managed services providers navigating complex change and urgent challenges. Since its founding in 1980, APR has transformed from a California IT-focused staffing firm to a full-service solutions provider filling a wide range of positions and serving over eight industries — including aerospace and defense, healthcare, IT, telecom, hospitality/gaming, sports/entertainment, government, and utilities –– in all 50 states, with a loyal roster of more than 850 specialized professionals.