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Collections & Recovery Specialist - Managed Care Operations

San Diego, California
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Job ID 5127 Date posted 02/18/2021 Schedule Full-Time Shift Day Department Managed Care Operations

POSITION DETAILS:
Schedule: Days, 8-hour shifts
FTE:  Full-Time, 80 hours per 2 week pay period 
Location: Copley Campus

JOB SUMMARY:

Under the general supervision of the Claims Director, the incumbent will assume responsibility for the various accounting functions associated with collecting funds and reconciliation of financial records. Functions include, billing for services, posting payments, COB, stop loss and conducting all follow-up and month-end duties. The incumbent will work professionally and courteously with Insurance companies and various departments in order to obtain payment resolution on claims. Additionally, the incumbent will manage the Provider Dispute Resolution appeals/disputes acknowledgement and resolution letters in timely manner.

MINIMUM QUALIFICATIONS:

High School Diploma, GED, or equivalent

2 years of experience

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  • Managed Care Operations, San Diego, California, United StatesRemove