Company: Alta Hospitals System
Posted on: March 14, 2020
Account Specialist / Hospital Collector
We are hospitals and affiliated medical groups, working closely
together for the benefit of every person who comes to us for care.
We build comprehensive networks of quality healthcare services that
are designed to offer our patients highly coordinated, personalized
care and help them live healthier lives. Through collaboration, we
strive to provide all of our patients and medical group members
with the quality, affordable healthcare they need and deserve.
The Account Specialist is responsible for the collection of
outstanding patient accounts from various insurance companies.
Overcomes barriers to assure timely and correct payment.
Understands managed care contracts to ensure prompt and accurate
--- Conducts appropriate account activity on final billed claims by
contacting government agencies, commercial insurance payers, third
party payers, and patients/guardians via phone, email or on-line.
Ensures that issues with accounts are clearly articulated, and
completes the correct steps to get the account corrected, paid, and
--- Ensures daily productivity standards of assigned accounts are
met. Maintains inventory with no back-log. Prioritizes assigned
tasks and conducts the appropriate follow through. Responds
effectively to questions regarding collection accounts and provides
an accurate explanation of status.
--- Reviews contracts and ensures that accounts are adjusted and/or
paid correctly. When appropriate, requests re-bills, secondary
billing, corrected billing and/or adjustment to accounts. Ensures
identified issues are properly documented in notes.
--- Recognizes potential delays with payor so that corrective
actions can be taken. Obtains information, as needed, from
appropriate internal sources. Responds in a timely manner to avoid
AR aging. Submits accurate and timely written technical appeals, as
needed. Escalates payment delays/problem accounts to supervisor in
a timely manner.
Minimum Education: High School Diploma or GED required.
Minimum Experience: Minimum of two (2) years hospital billing and
collecting experience in an automated environment required.
Understanding of Managed Care Payer Contracts and contract language
required. Excellent written and verbal communication skills in
English required. Ability to multitask and maintain a work pace
appropriate to workload required. Computer literacy and proficiency
required. Must demonstrate customer service skills appropriate to
the job required. Previous Healthcare Experience preferred.
Req. Certification/Licensure: None.
Employee Value Proposition
Prospect Medical Holdings, Inc., is guided by a diverse and highly
experienced leadership core. This group maintains the vision that
has made Prospect a needed difference-maker in the lives of so many
patients today, and many executives contribute to our continued
efforts. As a member of our highly effective team of professionals
you will receive:
--- Company 401K
--- Medical, dental, vision insurance
--- Paid time-off
--- Life insurance
How to Apply
To apply for this role, or search our other openings, please visit
http://pmh.com/careers/ and click on a location to begin your
journey to a new career with us!
We are an Equal Opportunity/ Affirmative Action Employer and do not
discriminate against applicants due to veteran status, disability,
race, gender, gender identity, sexual orientation or other
protected characteristics. If you need special accommodation for
the application process, please contact Human Resources.
EEOC is the Law: https://www1.eeoc.gov/employers/poster.cfm
Keywords: Accounting, Finance, Patient Accounting, PA,
Keywords: Alta Hospitals System, Norwalk , Hospital Collector, Healthcare , Norwalk, California
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