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Collections Representative
Ref No.: 18-03701
Location: Emeryville, California
1. Minimum of one to three years experience in a hospital billing office environment.

2. High school graduates or GED certificate.

3. Must demonstrate an in-depth understanding of all aspects of billing greater than an Office Assistant II and Office Assistant III.

4. Knowledge of contracts, insurance billing requirements, UB92 claim forms, Worker's Compensation, HMOs, PPOs, capitation, Medicare, Medi-Cal and compliance program regulations.

5. Good analytical and organizational skills, interpersonal, verbal, and written communication skills.

6. Knowledge of computer operation, keyboard functions, calculator, copier and fax machine operation.

7. Adequate keyboard skills.

8. Knowledge of electronic billing systems (i.e. NEIC, Cirius, Client, Envoy, etc.).

9. Proactive and assertive account resolution skills.

10. Must be a motivated individual with a positive and exceptional work ethics.

11. Ability to follow directions and written procedures.

12. Ability to balance assertiveness with compassion for the patient and others.

13. Must have a thorough understanding of CPT, ICD, DRG, and HCPC codes.

14. Must have a thorough understanding of stop losses, per diems, carve outs and other contract terms and conditions.

15. Computer software skills (i.e. Microsoft Applications and E-mail, etc.)