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Medicare and Medicaid Collections Specialist - Remote

Health & Life Sciences/Health Care - General

LHH

$21.00 - $22.00 per Hour

Irvine, California

Contractor

Health Care - General

Health & Life Sciences

LHH is seeking a Medicare and Medicaid Collections Specialist that will work FULLY REMOTE from 8-4:30pm PST.

Number of positions: 4

Length of Contract: W2 , 4 months


Location: Fully Remote


Schedule: Full time, Monday- Friday 8 am - 4:30 pm PST


Essential Duties And Responsibilities:
  • Research, initiate follow-up, and resolve all unpaid or underpaid system debit balances on secondary to Medicare insurance claims; Actions include but are not limited to remit and EOB review, calling payer(s) and clinics, rebilling claims, navigating payer portals, and taking adjustments in the billing system

  • Uses critical thinking, problem-solving and analytical skills to determine the root cause of our underpayments and follow appropriate documented policy and procedure to remediate

  • Navigate through various payer systems and multiple internal systems to ensure timely and accurate resolution of secondary to Medicare claims

  • Uses exceptional organization, written, and verbal communication skills to produce detailed documentation of research and actions taken on claims

  • Stay current on communication relating to healthcare reimbursement and regulatory changes

  • Develop and maintain positive working relationships with clinical personnel, teammates, and payer representatives

  • Works well under pressure in a fast-paced environment, meets expectations of deadlines, and carries out assignments to completion while maintaining a positive attitude

  • Maintain confidentiality of all company and patient information in accordance with HIPAA regulations and DaVita policies

  • Consistent and punctual attendance as scheduled is an essential responsibility of this position


Required:
  • High school diploma or equivalent (GED)

  • Proficiency in Microsoft office tools such as Outlook, Word, PowerPoint, Excel, and OneNote

  • Excellent and demonstrated written and verbal communication skills

  • Computer competency; typing, basic computer troubleshooting, and navigation

  • Ability to problem solve and critically think root cause analysis


Preferred Qualifications:
  • Healthcare experience; insurance or revenue cycle is a plus!

  • Insurance claim collections experience

    If this looks like a position for you, apply today!



Pay Details: $21.00 to $22.00 per hour

Search managed by: Jessica Vazquez

Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.



Equal Opportunity Employer/Veterans/Disabled



To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.lhh.com/us/en/candidate-privacy



The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:


  • The California Fair Chance Act
  • Los Angeles City Fair Chance Ordinance
  • Los Angeles County Fair Chance Ordinance for Employers
  • San Francisco Fair Chance Ordinance

Ref US_EN_27_842873_3088083

Medicare and Medicaid Collections Specialist - Remote

Health & Life Sciences/Health Care - General

LHH

$21.00 - $22.00 per Hour

Irvine, California

Contractor

Health Care - General

Health & Life Sciences

LHH is seeking a Medicare and Medicaid Collections Specialist that will work FULLY REMOTE from 8-4:30pm PST.

Number of positions: 4

Length of Contract: W2 , 4 months


Location: Fully Remote


Schedule: Full time, Monday- Friday 8 am - 4:30 pm PST


Essential Duties And Responsibilities:
  • Research, initiate follow-up, and resolve all unpaid or underpaid system debit balances on secondary to Medicare insurance claims; Actions include but are not limited to remit and EOB review, calling payer(s) and clinics, rebilling claims, navigating payer portals, and taking adjustments in the billing system

  • Uses critical thinking, problem-solving and analytical skills to determine the root cause of our underpayments and follow appropriate documented policy and procedure to remediate

  • Navigate through various payer systems and multiple internal systems to ensure timely and accurate resolution of secondary to Medicare claims

  • Uses exceptional organization, written, and verbal communication skills to produce detailed documentation of research and actions taken on claims

  • Stay current on communication relating to healthcare reimbursement and regulatory changes

  • Develop and maintain positive working relationships with clinical personnel, teammates, and payer representatives

  • Works well under pressure in a fast-paced environment, meets expectations of deadlines, and carries out assignments to completion while maintaining a positive attitude

  • Maintain confidentiality of all company and patient information in accordance with HIPAA regulations and DaVita policies

  • Consistent and punctual attendance as scheduled is an essential responsibility of this position


Required:
  • High school diploma or equivalent (GED)

  • Proficiency in Microsoft office tools such as Outlook, Word, PowerPoint, Excel, and OneNote

  • Excellent and demonstrated written and verbal communication skills

  • Computer competency; typing, basic computer troubleshooting, and navigation

  • Ability to problem solve and critically think root cause analysis


Preferred Qualifications:
  • Healthcare experience; insurance or revenue cycle is a plus!

  • Insurance claim collections experience

    If this looks like a position for you, apply today!



Pay Details: $21.00 to $22.00 per hour

Search managed by: Jessica Vazquez

Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.



Equal Opportunity Employer/Veterans/Disabled



To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.lhh.com/us/en/candidate-privacy



The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:


  • The California Fair Chance Act
  • Los Angeles City Fair Chance Ordinance
  • Los Angeles County Fair Chance Ordinance for Employers
  • San Francisco Fair Chance Ordinance

Ref US_EN_27_842873_3088083
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