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PRE-LEGAL ACCOUNT SPECIALIST III & COLLECTIONS REP. ANAHEIM, CA (CFC)
Job Field: Legal Jobs
Location: Anaheim, CA
Salary: $Not stated
Location: Anaheim, CA
Salary: $Not stated
JOB SUMMARY:
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<tr><td valign="top" width="450"><b>Title: PRE-LEGAL ACCOUNT SPECIALIST III & COLLECTIONS REP. ANAHEIM, CA (CFC)Location: CA-AnaheimOther Locations:At Conifer Health Solutions, we offer the strength and stability of Tenet Healthcare, a Fortune 500 company, with the ingenuity and energy of a healthcare independent. We are a healthcare solutions company born from the healthcare industry. We take care of hospital business, so hospitals can focus on caring for patients. Ready to be part of our solutions? Welcome to a company that gives you the resources and incentives to redefine healthcare services, with the benefits and leadership to take your career to the next step!JOB SUMMARYResponsible for the collection of assigned outstanding, aged account balances. Responsible for preparing accounts for legal review or action dependent on activity. Also responsible for providing training and coaching for team members.ESSENTIAL DUTIES AND RESPONSIBILITIESInclude the following. Others may be assigned.* Responsible for maximum productivity in the recovery of delinquent accounts receivable. Documents all collection activity; maintains and organizes unit and responds to all correspondence, communication and/or verbal inquiries from all relevant parties.* Ensures the quality, integrity and proper work effort of assigned accounts.* Understands and adheres to all policies and procedures, as well as local, state and federal regulations, relevant to the area of operation.* Records and maintains complete and accurate documentation of all activity performed on appropriate medium.* Reviews explanation of benefits (EOB) and or contracts to verify responsible parties.* Prepares unrecoverable accounts for assignment to legal counsel.* Prepares for appeals and revised billing as required.* Provides coaching and training to lower level staff.KNOWLEDGE, SKILLS, ABILITIESTo perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.* Excellent communication skills* Advanced data entry and other computer skills* Decision-making ability; ability to work with minimal supervision* Effective organizational skills; flexibility in working multiple issues* Excellent customer service, interpersonal, analytical and math skills* Ability to work in a fast paced environment and adapt to changes quickly* Bilingual skills preferred* Intermediate knowledge of Microsoft products (Word, Excel, Outlook) and typing skills required* Advanced knowledge of UB-92 and EOB interpretation (Medicare, Medicaid, Managed Care, Supplemental Plans)* Ability to adhere to HIPPA regulations* Advanced knowledge of CPT and ICD-9 codesEDUCATION / EXPERIENCEInclude minimum education, technical training, and/or experience required to perform the job.* High School Diploma or equivalent* 5-7 years experience in a medical insurance collections or Worker's Compensation collections environment* Proven experience in managing account follow-upPHYSICAL DEMANDSThe physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
</tr>
<tr><td valign="top" width="450"><b>Title: PRE-LEGAL ACCOUNT SPECIALIST III & COLLECTIONS REP. ANAHEIM, CA (CFC)Location: CA-AnaheimOther Locations:At Conifer Health Solutions, we offer the strength and stability of Tenet Healthcare, a Fortune 500 company, with the ingenuity and energy of a healthcare independent. We are a healthcare solutions company born from the healthcare industry. We take care of hospital business, so hospitals can focus on caring for patients. Ready to be part of our solutions? Welcome to a company that gives you the resources and incentives to redefine healthcare services, with the benefits and leadership to take your career to the next step!JOB SUMMARYResponsible for the collection of assigned outstanding, aged account balances. Responsible for preparing accounts for legal review or action dependent on activity. Also responsible for providing training and coaching for team members.ESSENTIAL DUTIES AND RESPONSIBILITIESInclude the following. Others may be assigned.* Responsible for maximum productivity in the recovery of delinquent accounts receivable. Documents all collection activity; maintains and organizes unit and responds to all correspondence, communication and/or verbal inquiries from all relevant parties.* Ensures the quality, integrity and proper work effort of assigned accounts.* Understands and adheres to all policies and procedures, as well as local, state and federal regulations, relevant to the area of operation.* Records and maintains complete and accurate documentation of all activity performed on appropriate medium.* Reviews explanation of benefits (EOB) and or contracts to verify responsible parties.* Prepares unrecoverable accounts for assignment to legal counsel.* Prepares for appeals and revised billing as required.* Provides coaching and training to lower level staff.KNOWLEDGE, SKILLS, ABILITIESTo perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.* Excellent communication skills* Advanced data entry and other computer skills* Decision-making ability; ability to work with minimal supervision* Effective organizational skills; flexibility in working multiple issues* Excellent customer service, interpersonal, analytical and math skills* Ability to work in a fast paced environment and adapt to changes quickly* Bilingual skills preferred* Intermediate knowledge of Microsoft products (Word, Excel, Outlook) and typing skills required* Advanced knowledge of UB-92 and EOB interpretation (Medicare, Medicaid, Managed Care, Supplemental Plans)* Ability to adhere to HIPPA regulations* Advanced knowledge of CPT and ICD-9 codesEDUCATION / EXPERIENCEInclude minimum education, technical training, and/or experience required to perform the job.* High School Diploma or equivalent* 5-7 years experience in a medical insurance collections or Worker's Compensation collections environment* Proven experience in managing account follow-upPHYSICAL DEMANDSThe physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
KEY REQUIREMENTS:
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