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Royal Ambulance AR Collections Representative in San Leandro, California

Job Title: AR Collections RepresentativeReports To: Billing ManagerClassification: Non-Exempt

Objective of the Position: The objective of the AR Collections Representative is to assist the Billing Department with commercial insurance accounts, as well as any Billing Department back up support as needed.

Responsibilities:

  • Manage claims and appeals follow-up on all commercial insurance accounts

  • Manage collections for Medicare and Medi-Cal

  • Work all denials received for commercial insurance accounts; work overflow Medicare denials as assigned

  • Assist with and manage special AR projects and research as needed

  • Answer billing inquiries from patients, staff, customers and insurance companies and resolve complaints

  • Review accounts for possible assignment and make recommendations to the Billing Manager

  • Correct and resubmit claims after confirming transmission errors with the payer

  • Monitor charge entries and accounts receivable

  • Maintain a high level of knowledge on current and pending regulation and legislation as they impact billing and collection activities (Medicare, Medi-Cal)

  • Maintain compliance with all required HIPPA rules, regulations and guidelines

  • Communicate effectively with Billing Department and Director of Business Administration, keeping everyone informed and up to date on issues, trends and any relevant information

  • Demonstrate and support Royal’s Mission, Values and Quality Standards

Skills / Requirements:

  • High-school diploma or equivalent (college degree preferred)

  • Excellent customer service skills

  • Good problem-solving ability with sound reasoning and analysis of options

  • Equally able to work independently as well as within a team

  • Must be able to learn and interact with more technical computer applications in addition to knowledge of basic computer skills (Word, Excel, Outlook)

  • Can handle multiple requests and interruptions throughout the day as well as changing priorities and deadlines

  • Excellent multi-tasking skills

  • Fast learner with the ability to perform new tasks and duties efficiently and effectively

  • Extremely organized, detail oriented and focused

  • Can anticipate needs and potential problems and actively seek opportunities and propose solutions

  • Strong math skills

  • Ability to handle confidential information

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