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Insurance Coordinator (Hospital)

Rancho Mirage, California 92270

Job ID: 11424 Category: Professional

Voca Professional has an opportunity for an Insurance Follow Up position with our client in Rancho Mirage, CA. Interested candidates will reach out to Jared Goforth at jgoforth@myvoca.com direct line 952-303-8123. 

Job Description

  • Works under the direction of the Patient Financial Service Manager. Is engaged in activities relating to the collection of payment and/or resolution of self-pay balance accounts.
  • Adheres to all rules & standards around productivity, timeliness, overtime, & meal/rest periods
  • Balances individual/team responsibilities to produce more efficiently
  • Pays close attention to detail to standardize work, and eliminate waste and rework
  • Makes a concerted effort to conserve hospital resources, i.e. electricity, supplies, water, etc.
  • Adheres to all hospital, division and department policies and procedures
  • Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations.
  • Manages new accounts, on a daily basis, by working within Receivables Workstation. Interfaces with other departments within the hospital, when appropriate, to obtain information necessary to process or resolve claims. Contacts patient and/or account guarantor to solicit payment on account.
  • Works all accounts listed in the Follow-Up cue, on a daily basis to promote collection of accounts. This will include telephoning the payer or identifying the claim on the payers’ Internet websites.
  • Manages entire account inventory on a timely basis to promote payment and resolution of all accounts as instructed by management.
  • Responsible for staying current on all payer requirements by reading bulletins, reviewing provider handbooks, accessing websites, etc.
  • Process incoming correspondence, including signature letters, denials, prior authorizations and additional information necessary to process the claim.
  • Records newly identified insurance plans and facilitate the account processing of new plan in accordance with pre-billing policies and procedures.
  • Records accurate and definitive notes in the electronic account file that depict the current status of account, issues with account and anticipated date of resolution.
  • Escalates account management to Supervisor when extraordinary issues arise.
  • Assigns a status codes to each worked account to enable account tracking, statistical data gathering and audit activities.
  • Manages new credit balance accounts every day and prepares adjustments or refunds to zero the account balance.
  • Handle special projects as directed by management e.g. high dollar accounts, accounts over 180 days old, etc.
  • Performs other duties as assigned

 

Qualifications:

  • Preferred: One year prior experience in a hospital setting, billing certification or Customer Service;
  • Experience in a clinic, payer or collection agency setting may be substituted.
  • Must have working knowledge of managed care, Medicare/Medi-Cal Billing regulations.
  • Specific Skills, Knowledge, Abilities Required
  • Knowledge of computer based claims management.
  • Strong windows knowledge, keyboarding skills, knowledge of database system and experience with internet applications.
  • Able to operate basic office equipment i.e. copiers, fax machines and calculators.
  • Must have an understanding of medical terminology.
  • Requires strong customer service and problem solving skills.
  • Requires the ability to handle multiple projects/tasks at the same time.
  • Able to prioritize workload and possess good time management skills.
  • Must have knowledge of contract management and federal and state regulatory guidelines.

Voca
Voca is a relationship organization focused on uniting talented individuals with exceptional companies. At Voca, we strongly believe that a better career results in a happier you, and we are therefore dedicated to help guide people on a career path that fulfills their passion and purpose.
 

 

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