LanceSoft, Inc. · 19 hours ago
Collections Representative
San Leandro, CA
Contract
Onsite
Mid Level
$30/hr - $35/hr
3+ years expLanceSoft, Inc. is seeking a Collections Representative to manage all aspects of payer contracts, claims, and third-party collection activities for hospital services. The role requires effective communication and organizational skills to follow up on insurance balances and ensure compliance with billing documents.
Information Technology
Hiring Manager
Rajat Singh Chauhan
Responsibilities
Responsible for all aspects of follow up and collections on insurance balances, including making telephone calls, accessing payer websites. Identify issues or trending and provide suggestions for resolution. Accurately and thoroughly documents the pertinent collection activity performed. Review the account information and necessary system applications to determine the next appropriate work activity. Verify claims adjudication utilizing appropriate resources and applications. Initiate telephone or letter contact to patients to obtain additional information as needed. Perform appropriate follow-up functions, including manual re-submissions as well as electronic attachments to payers. Manage and maintain desk inventory, complete reports, and resolve high priority and aged inventory
Participate and attend meetings, training seminars and in-services to develop job knowledge. Participate in the monthly, quarterly and annual performance evaluation process with Supervisor. Respond timely to emails and telephone messages as appropriate. Communicate issues to management, including payer, system or escalated account issues
Maintains information or operational records; screens reports for completeness and mathematical accuracy; list, abstracts, or summarizes data; compiles routine report from a variety of sources
May, as a secondary responsibility, interpret abstracts, orders, notes, invoices, permits, licenses, etc.; computes and receives fees when the amount is not in question or is readily obtainable from fixed schedules; posts data; and prepares reports in accordance with pre-determined forms and procedures
Prepares documents for collection of revenues from third party payer programs; checks and verifies charge rates for services; reconciles account balances and verifies payments
Reviews billing documents to assure program compliance for Medicare, Medi-Cal, Mental Health, and insurance programs; assures that all appropriate medical documentation is submitted timely
Other duties as assigned
Qualification
Required
High school diploma or equivalent education
Minimum Experience: One year of experience in a Revenue Cycle area within the Alameda Health System; OR the equivalent of two years' experience, performing medical billing/collections or medical accounts receivable functions in a healthcare insurance related environment
Good written and verbal communication skills
Intermediate computer skills including thorough understanding of the EHR system, Microsoft Office (Word, Outlook, Excel, PowerPoint)
Intermediate knowledge of UB-04 and Explanation of Benefits (EOB) interpretation
Intermediate knowledge of CPT and ICD-10 codes
Intermediate knowledge of insurance claims and insurance terminology
Act in an appropriate and professional manner as defined by the company's Standards of Behavior, Policy and Procedures, and Scope of Services
Role model AHS Standards of Behavior
Current office administrative practices and procedures
Correct business English, including spelling, grammar and punctuation
Use independent judgment and initiative within established policies and procedures
Establish and maintain effective working relationships with a variety of individuals from various socioeconomic, ethnic and cultural backgrounds
Should have a good understanding of payer contract language, and how to apply language to reimbursements
Excellent communication skills, both written and verbal
Preferred
3-5 years of experience in a hospital business environment performing billing and/or collections
Strong background in collection and patient accounting (medical billing)
EPIC back-end experience is a must
Company
LanceSoft, Inc.
Established in 2000, LanceSoft is a pioneer in delivering top-notch Global Workforce Solutions and IT Services to a diverse clientele.
5001-10000 employees
H1B Sponsorship
LanceSoft, Inc. has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (55)
2024 (32)
2023 (23)
2022 (25)
2021 (60)
2020 (80)
Funding
Current Stage
Late StageLeadership Team
Ram Karuppusamy
Chairman & CEO
Simon Dealy
Chief Financial Officer
Company data provided by crunchbase