Medical Self Pay Specialist Collections Specailist

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Careers That Change Lives

As a key member of the Patient Financial Services (PFS) team, responsible for all aspects of billing, credit and collection activities, including customer service with an objective of maximizing cash flow and keeping DSO to a minimum.

The Insurance Collection role follows prescribed procedures and procedures, performs a variety of tasks using standard healthcare guidelines. Main objective is follow up collection activities including rebilling, appeals and recovery activities for denied or short paid claims. Verifies accuracy of statements (patient and payor related) as well as other healthcare financial accounting documentation or records. Enters data into computer systems using defined computer resources and programs. Compiles data and prepares a variety of reports. May reconcile records with PFS team members and leaders; communicates with external vendors and customers (including representatives of health plans/payors.) Recommends actions to resolve discrepancies; investigates questionable data.

Diabetes Operating Unit:

The Diabetes Operating Unit focuses on improving the lives of those within the global diabetes community. As a business, we strive to empower people with diabetes to live life on their terms by delivering innovation that truly matters and providing support in the ways they need it. We're committed to meeting people with diabetes where they are in their journey, always with an aim to make their lives easier. Our portfolio of innovative solutions is designed to provide customers greater freedom and better health, helping them achieve better glucose control, while spending less time managing their disease.

This position is 100% on site in Northridge, CA.

A Day in the Life

· Provide excellent customer service to all internal and external customers

• Assist patients with any concerns that they may have during the call, performing full reconciliation, self-pay collections including, but not limited to, correspondence, e-mails, voicemails, insurance verification, write-offs, and other projects as the need is presented.
• Executes on established departmental objectives and assignments which affect the immediate operation, but that also have full revenue cycle and company-wide fiscal impact.
• Understand and answer questions regarding Explanation of Benefits (EOB).
• Maintain work view at inflow to ensure prompt account resolution to increase cash collections and or reduce Self Pay credit balance accounts.
• Escalate customer complaints that cannot be turned around to the appropriate department or supervisor.

Must Have: Minimum Requirements

To be considered for this role, please ensure the minimum requirements are evident on your resume.

• High School Diploma or equivalent
• Zero years of experience

Nice to Have

• Proficiency in navigating multiple screens and MS Office Suite
• Demonstrated ability to prioritize work, managing daily and multiple tasks to completion within the time allotted
• Prior healthcare experience on Centricity GE system and SAP
• Experience in a payor or medical provider community that deals with all aspects of the revenue cycle.
• Experience with reviewing and analyzing insurance payments, and/or payer adjudication claims against contract terms and patient coverage and benefits.
• Extensive related customer service experience in a call center environment, delivering high quality service to a diverse and demanding customer base
• Experience with medical billing and collections terminology - CPT, HCPCS and ICD-10 coding
• Experience with HIPAA guidelines and healthcare compliance.

About Medtronic Together, we can change healthcare worldwide. At Medtronic, we push the limits of what technology, therapies and services can do to help alleviate pain, restore health, and extend life. We challenge ourselves and each other to make tomorrow better than yesterday. It is what makes this an exciting and rewarding place to be. We want to accelerate and advance our ability to create meaningful innovations - but we will only succeed with the right people on our team. Let's work together to address universal healthcare needs and improve patients' lives. Help us shape the future.

Physical Job Requirements The above statements are intended to describe the general nature and level of work being performed by employees assigned to this position, but they are not an exhaustive list of all the required responsibilities and skills of this position. The physical demands described within the Responsibilities section of this are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to be independently mobile. The employee is also required to interact with a computer and communicate with peers and co-workers.

A commitment to our employees lives at the core of our values. We recognize their contributions. They share in the success they help to create. We offer a wide range of benefits, resources, and competitive compensation plans designed to support you at every career and life stage. Learn more about our benefits here .

This position is eligible for a short-term incentive plan. Learn more about Medtronic Incentive Plan (MIP) here .

The provided base salary range is used nationally in the United States (except in Puerto Rico and certain CA locations). The rate offered is compliant with federal/local regulations and may vary by experience, certification/education, market conditions, location, etc.