Creating exceptional value for our patients, physicians and payors through our unique healthcare delivery model.
Collections Clerk
Location
California
Posted
63 days ago
Salary
0
Seniority
Mid Level
Job Description
Collections Clerk
Surgery Partners, Inc
• Responsible for assisting with all functions associated with billing and third-party payers • Must be an effective communicator who can express himself/herself on a daily basis in a professional manner both verbally and in writing • Proactive professional who can identify collection trends and solve them in a timely manner • Identifies delinquent accounts, aging period and payment sources, and performs collection actions including contacting patients by telephone and resubmitting claims to the appropriate payer • Evaluates patient financial status and establishes contract payment plans • Keeps informed on all current Medicare, Medicaid, and third-party payer regulations and requirements • Informs management and other staff members of changes and keeps documentation current and accessible • Successfully reduces days in A/R and meets assigned goals • Responds to overflow Customer Service incoming patient phone calls • Other assigned duties as required
Job Requirements
- High School Diploma or Equivalent
- 2 years of medical collections experience preferred
- Experience with medical practice billing software necessary
- Good verbal and written communication skills
- Knowledge of computers with experience in windows-based systems and Microsoft Office
- Knowledge of CPT and ICD-10 coding and electronic billing necessary
- Ability to communicate effectively with center management, center staff, patients, their families, the physicians and their staff
- Ability to read, write and speak the English language
- Ability to handle frequent interruptions that result in having to re-evaluate priorities
- Proficient in medical terminology
- Detail oriented
Benefits
- Comprehensive health, dental, and vision insurance
- Health Savings Account with an employer contribution
- Life Insurance
- PTO
- 401(k) retirement plan with a company match
- And more!
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PharMericaPharMerica, an affiliate of BrightSpring Health Services, delivers personalized pharmacy care through dedicated local teams, serving health care providers such as skilled nursing facilities, senior living communities, and hospitals. We also cater to individuals with behavioral needs, infusion therapy needs, seniors receiving in-home care, and patients with cancer. Operating long-term care, home infusion, and specialty pharmacies across the nation. Combines the personal touch of a neighborhood pharmacy with the resources of a national network. Comprehensive solutions, backed by industry-leading technology and regulatory expertise, ensure accurate medication access, cost control, and compliance with best-in-class clinical standards. Committed to enhancing resident health, reducing staff burdens, and supporting our clients' success.
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Biller
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Role Description As a member of the Evernorth Finance team, you will edit, bill, and collect payment on complex and unique outstanding claims with a goal of positively impacting the company's revenue and accounts receivable balance. Enabled by a robust training curriculum, clear policies, and team support, you will contribute toward the important functions of billing and collections and contributing toward our growth strategy. To achieve our collective success, a working knowledge of the billing and collection processes and accountability for quantity and quality metrics are key expectations of the role. You will communicate opportunities for best practices based on issues identified. Collections - Investigate reasons for unpaid balances from insurance companies - Bill and/or collect outstanding/delinquent payments or issue payments - Research and identify trends and develop and implement methods to improve results - Troubleshoot both internal & external issues and insurance denials - Work independently to research and resolve the unpaid balance while following Evernorth policies as well as the insurance company requirements - Collaborate effectively with internal business partners as well as external payers to drive timely and accurate collections of invoiced amounts Qualifications - High school diploma or GED required; Associate’s degree or equivalent work experience strongly preferred - Professional experience in healthcare collections highly preferred - Accounts receivable background preferred - Proficient in Microsoft Office with working knowledge of Microsoft Excel - RX Home experience highly preferred - Self-motivated and goal-oriented - Independent and proactive problem-solving skills - Ability to manage multiple priorities - Solid written and verbal communication skills - Strong research and analytical skills - Team player with a positive attitude - Detail oriented - Solid organizational skills - Must meet work at home company requirements, and have a strong ability to stay engaged in a virtual environment Requirements - Ability to work Monday - Friday 8:00am to 4:30pm EST - If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. Benefits - Hourly rate of 17.75 - 26 USD / hourly, depending on relevant factors, including experience and geographic location - Eligible to participate in an annual bonus plan - Comprehensive range of benefits, including medical, vision, dental, and well-being and behavioral health programs - 401(k) - Company paid life insurance - Tuition reimbursement - A minimum of 18 days of paid time off per year and paid holidays Company Description At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients.


