Administrative Representative

The Scientific Team at Russell Tobin & Associates is hiring an Administrative Representative for a premier health care systems near San Diego, CA

• The Authorizations Coordinator involves patient, third party, government, physician billing and / or collections activities. Provides for coordinated processes, procedures, and systems, customer service delivery models and ensures compliance with internal policy and external agency regulations.
• Manages insurance reimbursement from third-party billings and government insurance programs. Keeps abreast of the full array of third-party contracts and billing / collections requirements. Incorporates cash posting, accounts receivable management and financial counseling for securing collections of accounts. Investigates highly complex claims, evaluates alternative funding sources for patients in need, and proposes procedures and systems to support efficient workflows and reimbursement maximization. Obtain insurance authorizations for oncology treatments. Provide financial counseling to patients. Manage Drug Assistance Programs from foundations and pharmaceutical companies.

  Minimum Requirements:
  

• Seven (7) years of related experience, education/training, OR a Bachelor’s degree in related area plus three (3) years of related experience/training.
  
• Experience and proven success in billing and/or collections processes, concepts, systems, and external regulations.
  
• Thorough knowledge of medical terminology and coding.
  
• Working knowledge of healthcare and insurance authorization process.
  
• Thorough knowledge of the appeals and denied claims process.
  
• Excellent telephone etiquette and ability to work with a diverse interdisciplinary team.
  
• Proficiency skilled in Microsoft Word, PowerPoint, Excel, Outlook, etc.

  Preferred Requirements:
  

• Strong technical computer skills, such as supporting other staff and helping with troubleshooting.
  
• Experience in billing and collecting claims to commercial and government insurance companies for hospital contracts related to oncology services.
  
• Bilingual: English/Spanish.

Additional details

• Pay rate range- 25-30/hr. (Depend on experience)
• 8am-4.30p, M-F

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Rate/Salary: 25-30/hr.