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Senior Collections Representative - Non-Government Unit / Transplant

Remote, USA Full-time Posted 2025-11-03
About the position Responsibilities • Gather and secure all information needed for billing and collections. • Maintain deficiency lists to obtain missing documents from internal or external entities. • Resolve claim rejections and package claims, including global billing with attachments of professional fee claims. • Perform proactive follow-up with payers, grants, and other entities to secure payment of accounts. • Accountable for billing through account closure. • Utilize multiple databases and applications to analyze and take appropriate action on received information or documents. • Communicate frequently with insurance company representatives, hospital and clinical departments, managers, and patients. Requirements • High School Diploma or GED. • Six or more years of experience working in a hospital billing office environment. • Excellent knowledge of hospital billing and collections, including packaged claims, stop losses, per diems, carve outs, and other contract terms and conditions. • Strong understanding of CPT, ICD, DRG, and HCPC codes. • Understanding of Professional Fees. • Strong analytical and organizational skills. • Excellent interpersonal, verbal, and written communication skills. • Proficient in computer operation, including MS Office and basic office equipment. • Proactive and assertive account resolution skills. • Motivated individual with a positive work ethic. • Ability to follow directions and written procedures with high attention to detail. • Ability to balance assertiveness with compassion for patients and others. • Ability to work onsite in the Emeryville office with occasional remote work. Nice-to-haves • Experience with medical terminology. • ICD, CPT4, HCPCS, DRG coding experience. • Understanding of HIPAA rules and regulations. Benefits • Comprehensive health insurance coverage. • Retirement savings plan options. • Opportunities for professional development and continuous learning. • Flexible work arrangements including hybrid options. • Supportive work environment that values diversity and inclusion. Apply tot his job Apply To this Job

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