Job Summary:
This role focuses on billing and collections for outstanding patient accounts across various payor types (commercial government managed care). The Reimbursement Specialist I will identify and report payor issues interpret complex contract language for accurate reimbursement calculations and pursue outstanding payments. The position requires proficient use of internet resources and professional phone communication for account collection activities. The position is remote but requires occasional on-site presence in San Diego.
Location: San Diego California United States
Responsibilities:
- ****ing and collections of outstanding account balances for commercial government and managed care payors.
- Identifying and reporting payor issues to leadership.
- Interpreting and applying complex payor contract language to reimbursement calculations.
- Pursuing all payments due to the organization.
- Performing account collection activities using internet resources and professional phone etiquette.
- Sending paper claims appeals and refund requests.
Required Skills & Certifications:
- High School Diploma GED or equivalent.
- Minimum two years of experience in hospital billing and collections.
- Experience billing commercial payors.
- Proficiency in Microsoft Excel Word and Outlook.
- Experience with Epic billing and collections functions.
- Ability to work remotely with a start time between 6:00 AM - 9:00 AM PST.
Preferred Skills & Certifications:
- None specified.
Special Considerations:
- Remote position with occasional on-site work required in San Diego.
- Must be able to answer screening questions regarding hospital billing and collections experience commercial payor billing experience and Epic experience.
Scheduling:
- 5 days a week Monday-Friday.
- 7:30 AM - 4:00 PM PT (flexible).