Collection Specialist

POSTED ON 1/13/2023 AVAILABLE BEFORE 7/12/2023
Loma Linda University Careers Careers Hired Organization Address San Bernardino, CA Full Time

Job Posting for Collection Specialist at Loma Linda University Careers Careers

Shared Services: Billing/Collections (Full-Time, Day Shift) -

 

Our mission is to continue the teaching and healing ministry of Jesus Christ. Our core values are compassion, excellence, humility, integrity, justice, teamwork and wholeness.

 

The Collection Specialist analyzes and interprets Managed Care contract language, terms, conditions and responsibility matrices. Performs telephone and written follow-up with insurance companies, third party payers, worker's compensation payers, medical groups, outside hospitals, and physician's offices to ensure timely payments of inpatient and outpatient hospital bills in accordance with the terms and conditions of each contract and/or insurance company policies. Ensures that payers adhere to compliance laws regarding timely processing of claims. Has a strong understanding of Managed Care and insurance company payment principles, rules, and regulations to perform reimbursement from both the third party and patient perspectives. When working with individual payers on an account-by-account basis, determines if payer needs additional information, identifies barriers, or secures payment dates. Responsible for following through with requested information as needed in order to remove payment barriers. If unable to remove barriers, elevates the account to either LLUMC Management or Payer Management. Develops collection recovery strategies with each payer. Must aggressively pursue each outstanding account to reach maximum reimbursement and closure. These services may be provided for both the LLUMC and LLUCH hospitals. Performs other duties as needed.
 

 

High School Diploma or GED required. Associate's Degree preferred. Minimum two years of experience in healthcare billing, auditing, managed care or collections required; preferably in hospital billing.

 

Familiar with automated billing, follow-up and adjudication systems required (i.e., Emdeon, MedAssets, HIPAA, FCA, etc.). Knowledge of UB04, CPT, HCPC, ICD9, and EOB required. Able to keyboard 40 wpm and 10-Key. Able to read, write legibly; speak in English with professional quality; use computer, printer, and software programs necessary to the position (e.g., Word, Excel, Outlook, PowerPoint). Operate/troubleshoot basic office equipment required for the position. Able to relate and communicate positively, effectively, and professionally with others; work calmly and respond courteously when under pressure; collaborate and accept direction. Able to communicate effectively in English in person, in writing, and on the telephone; think critically; manage multiple assignments effectively; organize and prioritize workload; work well under pressure; problem solve; recall information with accuracy; pay close attention to detail; work independently with minimal supervision. Able to distinguish colors as necessary; hear sufficiently for general conversation in person and on the telephone, and identify and distinguish various sounds associated with the workplace; see adequately to read computer screens, and written documents necessary to the position.

 

 

Additional Information
Compensation

 Apply for this job

 Receive alerts for other Collection Specialist job openings

Report this Job

Salary.com Estimation for Collection Specialist in San Bernardino, CA
$43,969 to $54,193

Sign up to receive alerts about other jobs with skills like those required for the Collection Specialist.

Click the checkbox next to the jobs that you are interested in.

Job openings at Loma Linda University Careers Careers

Loma Linda University Careers Careers
Hired Organization Address Loma Linda, CA Full Time
SBH: Counseling and Family Science- (Unscheduled, Day Shift) - Our mission is to continue the teaching and healing minis...
Loma Linda University Careers Careers
Hired Organization Address Loma Linda, CA Full Time
SM: Physical Diagnosis (Unscheduled, Variable Shift) - *Not affiliated with SAHP Physical Therapy Standardized Patient 1...
Loma Linda University Careers Careers
Hired Organization Address Loma Linda, CA Full Time
MC: Clinical Documentation Improvement- ( Full-Time, Day Shift ) Our mission is to continue the teaching and healing min...
Loma Linda University Careers Careers
Hired Organization Address Redlands, CA Full Time
Behavioral Medicine Center: Nursing Administration (Part Time, Night Shift) - Our mission is to continue the teaching an...

Not the job you're looking for? Here are some other Collection Specialist jobs in the San Bernardino, CA area that may be a better fit.

Medical Collection Specialist HYBRID

Aston Carter, SAN BERNARDINO, CA

Data Collection Specialist

Inconen, Amboy, CA