Career Center

We are seeking a self-directed, detail-oriented individual with:

• High school diploma or General Education Diploma (GED) (Required)

• 5+ years of progressive experience in collections, including substantial experience in complex collections investigations and resolution (Required)

• Comprehensive understanding of UB04 requirements and advanced knowledge of medical billing processes, including familiarity with Medicare and Medicaid regulations

• Advanced proficiency in analytical tools and software, with demonstrated expertise in Excel/spreadsheets for data analysis and reporting

• In-depth knowledge of collection techniques, laws, and regulations, including AB1455, the Knox-Keene Act, Health & Safety Codes, and other applicable statutes

• Extensive familiarity with medical terminology, CPT and HCPCS codes, and healthcare networks including IPAs, HMOs, PPOs, PCPs, as well as contract affiliations and provider networks

• Exceptional verbal and written communication skills, including the ability to convey complex information clearly and concisely

• Advanced proficiency in Microsoft Office applications, particularly Excel for complex data analysis and Word for documentation and reporting

• Proven ability to manage multiple priorities, meet deadlines consistently, and work both independently and collaboratively within a team environment

• Ability to interpret and apply payer contracts, negotiate payment terms, and process contractual adjustments effectively