McCormick Ambulance - Facility Contract Specialist in Mariposa, CA

Employment Type

: Full-Time

Industry

: Miscellaneous



More Information about this JobJob Title: Facility Contract SpecialistsDepartment: AR Follow-up Location: Mariposa, CaliforniaFLSA Status: Non-ExemptPOSITION SUMMARY:The Representative Billing position responsibilities are to submit accurate and timely claim billing and reports based on health plan, payor, or contract requirements. This also involves accounts receivable payment follow-up, appeals, and refunds if necessary.ESSENTIAL DUTIES & RESPONSIBILITIES:* Complete health plan billings based on requirements.* Compile proper paperwork and conduct appropriate research to appeal claim denials, including requests for refunds/credits when applicable.* Review and monitor reimbursements due from different payors to determine appropriate collection methods.* Communicate effectively and professionally with external customers.* Resolve payment issues with carriers, (e.g. denials, partial payments, etc.)* Review, modify, and re-bill rejected/denied claims.* Assist Cash department on payor backup as needed for payments received.* Adhere to and comply with information systems security. Know and follow Information Systems security policies and procedures. Attend Information Systems security training, when offered, and report information system security problems.* Adhere to all company policies and procedures.* Work overtime if assigned by Management.* Perform other duties as assigned.* Be flexible with shifting daily priorities.* Meet deadlines, working within tight time constraints.* Handle a large volume of work.* Meet or exceed established standards for productivity and quality.MINIMUM QUALIFICATIONS:Education/Licensing/Certification: High School Diploma or general education degree (GED) required. Must pass new-hire and department-specific testing.Experience: One to three months related experience and/or training; or equivalent combination of education and experience preferred.Knowledge and Skills:* Flexible, high achiever with ability to learn quickly and meet department goals and deadlines consecutively.* Strong attention to detail.* Organized, detail oriented with excellent follow through abilities.* Communicate effectively, both orally and written.* Good computer skills.* Strong alpha numeric data entry skills with a minimum of 35 WPM with a 90% accuracy rate.* HIPPA Requirements.* Work in a spirit of teamwork and cooperation.* Convey a sense of competence and commitment.* Use initiative to learn new skills, enhance personal knowledge and improve communications.* Demonstrate ability to work well with team members.* Demonstrate flexibility with shifting daily priorities.#EMSJOBS_PAEEO StatementGlobal Medical Response and its family of companies including American Medical Response is an Equal Opportunity Employer including Veterans and Disabled.

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