Medical Collections Specialist

We are in search of a diligent Medical Collections Specialist to join our team in Sacramento, California. In this role, you'll be responsible for managing medical collections and ensuring accurate record-keeping. This opportunity provides a contract to permanent employment option.

• Ensure accurate and efficient processing of medical collections
• Uphold comprehensive records relating to patient accounts and collections
• Proficiently read and understand medical contracts to determine the permitted amount
• Display a strong comprehension of insurance products such as HMO, PPO, and Medicare Advantage plans
• Exhibit strong skills in writing appeals and effectively work with insurance companies to resolve denied or underpaid claims
• Comfortably communicate with patients regarding their balances and explain adjudication outcomes
• Apply analytical skills to make sound decisions on claim resolutions
• Exhibit efficiency in managing a fast-paced, high volume work environment, while maintaining quality and meeting production goals
• Foster a team-oriented environment and excel in achieving set objectives. • Proficiency in Medical Collections is a must
• Familiarity with Medical Terminology is required
• Demonstrable knowledge of Medical Terminology is essential
• Experience in handling Claim Denials is necessary
• Understanding of the HealthCare Revenue Cycle is crucial
• Knowledge of HealthCare Reimbursement is a significant requirement