Accounts Receivable / Insurance Follow-Up / Medical Collections Agent - Sante Health

Sante Health System is looking to hire a full-time Accounts Receivable / Insurance Follow-Up / Medical Collections Agent who is responsible for insurance and patient balance follow-up, aging reports and customer service.

QUALIFICATIONS

• High school diploma or GED certificate required.
• Two years medical billing experience preferred. Knowledge of ICD-10, CPT, and HCPC coding.
• Demonstrates professional customer service with the ability to multi-task, prioritize and manage time effectively.
• Excellent communication skills, required knowledge of Government, PPO, HMO, Workers' Compensation, Medicare, Medi-cal and Private Pay billing and guidelines.
• OB/GYN experience is a plus.

PERFORMANCE REQUIREMENTS

• Knowledge, Skills and Abilities.
• Knowledge of ICP-10, CPT and HCPC coding.
• Working knowledge of billing regulations for PPO, HMO, Workers' Compensation and Government payers.
• Knowledge of patient confidentiality regulations.
• Professional telephone etiquette.

ESSENTIAL DUTIES AND RESPONSIBILITIES

1. Review, analyze and maintain account aging per approved client goals.
2. Responsible for updating account information, patient address, insurance billing information.
3. Assist sites and patients with questions and concerns. Set up patient payment schedules and provide site staff with delinquent account information.
4. Notify insurance companies to expedite payment of claims, via website or phone call. Send tracers or rebill as necessary.
5. Work collection modules to review accounts at risk for collections.
6. Notify management of any concerns on unusual payments or claim processing from insurance companies.
7. Review accounts with credit balances and prepare refunds as necessary.
8. Attend required meetings and in-services.
9. Comply with all work rules including those pertaining to safety and health.
10. Perform related work as required; perform other job duties as assigned by manager.
11. Maintains strictest confidentiality.
12. In the spirit of teamwork, employees are expected to follow any other job-related instructions and to perform any other job-related duties as requested.

ABOUT SANTE HEALTH SYSTEM

Sante Health System is a Management Services Organization that serves multiple clients. "Sante" is the French word for health. Our name symbolizes our commitment to good health, progressive care, and leadership in our community.

Sante is one of the largest healthcare claims and billing management companies in Central California. The strength of Sante is the extraordinary network of physicians, health plans, and other health service providers it offers the people of our valley. Sante coordinates with physicians, health plans, hospitals, and ancillary providers to ultimately benefit the patient in a managed care environment. Sante Health System provides numerous client services such as billing, claims processing, contracting, credentialing, finance, human resources, information services, marketing/communications, physician services, practice management, provider relations, quality improvement, and utilization management.

Sante is celebrating over 25 years of service to the community. We deeply understand that we would not be successful in enhancing the quality of life of our patients without our incredible team. Therefore, we have created a work culture that is comprised of talented, driven, dedicated, innovative, and service-driven professionals. We provide competitive pay, excellent benefits including medical, dental, vision, and life insurance, 401k retirement plan, paid time off, and opportunities for advancement. Being part of our team is like being part of a big family. Join our team and make Sante Health System your home away from home.

ARE YOU READY TO JOIN OUR TEAM?

If you feel you are the right fit for our position, we want to meet you! Apply now with our initial 3-minute, mobile-friendly application! We look forward to meeting you!

www.santehealth.net