Hospital Collections (Refunds) Representative

Zempleo Inc
Los Angeles, CA Full Time | Contractor
POSTED ON 3/26/2024 CLOSED ON 3/28/2024

What are the responsibilities and job description for the Hospital Collections (Refunds) Representative position at Zempleo Inc?

Overview:

Our client, a Medical Center facility under the aegis of a California Public Ivy university and one of largest health delivery systems in California, seeks an accomplished Hospital Collections (Refunds) Representative.

*** Candidate must be authorized to work in USA without requiring sponsorship ***

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*** Location: 10920 Wilshire Blvd, Ste 1600, Los Angeles, CA 90024

*** Duration: 4 - 6 months contract with possibility of extension

Notes:

· Onsite role.

· 7:30am - 4:30pm Pacific Time (includes a 60 min break).

· Interview Process: one Zoom video interview.

Description:

· The Collections Representative is responsible for reviewing inpatient and outpatient claims to ensure maximum collection dollars by providing appropriate follow-up and document actions taken.

· Major functions include managing a portfolio of assigned accounts, responding to correspondence, and heavy telephone contact to ensure timely follow-up and account resolution.

· The follow-up collector must have the ability to perform all needed duties in the patient account system.

· Retrieves and review documentation, refund correspondence, contacts payer to discuss (if necessary) refunds requests, corrects misapplied transactions and process refunds.

· Reviews Daily credit balance report, process Insurance refunds, retrieves EOR and validates the appropriate contract terms used, applies appropriate adjustment or transactions necessary to process refund or resolve credit.

· Anthem Blue Cross credits, reviews accounts on the daily report, corrects misapplied transactions. Once overpayment is identified, use the appropriate account status.

· Prepares and submits refund disputes letters to payers timely.

· Summarizes and documents account expected reimbursement and all payment and adjustments transactions clearly and accurately.

· Documents all activity taken to account in the (HIS) Hospital Information System (Epic).

· Writes clear, concise, and grammatically account notes in Hospital Information System (Epic).

Qualifications:

· Must have three years collections experience in a hospital doing refunds.

· Skilled in usage of all Microsoft and other programs as defined by management staff.

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I'd love to talk to you if you think this position is right up your alley, and assure a prompt communication, whichever direction. If you're looking for rewarding employment and a company that puts its employees first, we'd like to work with you.

Satwinder “Sat” Singh

Lead Technical Recruiter

Company Overview:

Amerit Consulting is an extremely fast-growing staffing and consulting firm. Amerit Consulting was founded in 2002 to provide consulting, temporary staffing, direct hire, and payrolling services to Fortune 500 companies nationally, as well as small to mid-sized organizations on a local & regional level. Currently, Amerit has over 2,000 employees in 47 states. We develop and implement solutions that help our clients operate more efficiently, deliver greater customer satisfaction, and see a positive impact on their bottom line. We create value by bringing together the right people to achieve results. Our clients and employees say they choose to work with Amerit because of how we work with them - with service that exceeds their expectations and a personal commitment to their success. Our deep expertise in human capital management has fueled our expansion into direct hire placements, temporary staffing, contract placements, and additional staffing and consulting services that propel our clients’ businesses forward.

Amerit Consulting provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

Applicants, with criminal histories, are considered in a manner that is consistent with local, state and federal laws.

Job Types: Full-time, Contract

Salary: $20.00 - $27.00 per hour

Expected hours: 40 per week

Benefits:

  • Health insurance
  • Opportunities for advancement

Weekly day range:

  • Monday to Friday

Work setting:

  • Office

Experience:

  • Hospital Collections Doing Refunds: 3 years (Required)
  • Microsoft Office: 3 years (Required)

Ability to Commute:

  • Los Angeles, CA 90024 (Required)

Work Location: In person

Salary : $20 - $27

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