Managed Care/Commercial Account Specialist

Job Description

Job Description

College Medical Center Long Beach is proud to be part of College Hospitals. We are dedicated to the highest quality of customer services delivered with a with a sense of warmth friendliness and organizational pride. Become part of a team that provides a respectful environment, flexibility, a tight knit group and autonomy to utilize your knowledge and experience.

The Managed Care/Commercial Account Specialist is responsible for all aspects of billing, follow up and collection activity of claims to primary, secondary and/or tertiary payors. The position performs a variety of duties and responsibilities related to billing and collection for timely and effective follow up, resolution on non-payment of accounts, denials, addressing billing questions, reviewing patient accounts, and follow up. Knowledge of contracts. The Managed Care/Commercial Account Specialist is expected to keep the worklist current, meet the expected daily productivity and maintain the aging less than 90 days, maximize cash flow, be familiar with current regulatory requirements, electronic and hard copy billing, and UB04 billing formats.

QUALIFICATIONS

• 2 years of recent Medicare Billing experience – Acute Care Hospital

• Knowledge of medical terminology

• Understand UB04 claim form, CPT, HCPCS, ICD-9, and ICD-10 Codes

• Proficient with Microsoft Word and Excel computer applications

• High school diploma.

Placement in the pay range is based on multiple factors including, but not limited to, relevant years of experience and qualifications. In addition to base pay, there may be additional compensation available for CHLB roles, including but not limited to shift differential and other special pay practices, etc. The posted compensation for the position is a reasonable estimate that extends from the lowest to the highest pay that CHLB in good faith believes it might pay for this particular job, based on the circumstances at the time of posting.

EEO Statement

All College Medical Center subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. College Medical Center subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

Notice

We are aware of a scam whereby imposters are posing as Recruiters from College Medical Center, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.

At College Medical Center and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at College Medical Center and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. Email correspondence will come from the domains @collegemedicalcenter.com or @glendorahospital.com.

If you suspect a fraudulent job posting or job-related email mentioning College Medical Center or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate College Medical Center  subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.