Collections Representative

Job Summary

Working remotely on a full-time basis, the Collections Representative will manage accounts by performing collections, reconciliations, and research while ensuring compliance with billing procedures and providing excellent customer service.

Key responsibilities:

• Perform collections, reconciliation, and research on complex accounts, including submitting appeal letters on underpaid claims
• Review and interpret payer contracts and EOBs to ensure accurate payment adjustments and identify process improvements
• Provide assistance and excellent customer service to patients and internal clients while coordinating with various departments for accurate billing

Required qualifications:

• High School Diploma / GED
• 1+ years of hospital/facility collections experience, including follow-up and appeals
• 1+ years of recent experience with Medicaid Managed or Medi-Cal Managed Care plans
• Experience navigating insurance portals to resolve denied hospital claims
• Ability to complete training during the first month between 6:00 AM to 2:30 PM PST, Monday through Friday