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Medical Collections Specialist

Avacend, Inc.

Medical Collections Specialist

Livermore, CA
Paid
  • Responsibilities
    • Responsible for coordinating a wide variety of administrative duties and tasks to ensure smooth project site office operations for typically either a smaller direct hire project or larger construction management project.
    • Acts as main administrative liaison between site office and home office administrator.
    • Performs and/or oversees activities relating to accounting, timesheets, human resources, equipment and supplies.
    • Addresses craft payroll issues for projects.
    • Has daily contact with various clients, subcontractors and company employees.
    • May plan, organize, direct and negotiate project office activities if required.

     

     

    RESPONSIBILITIES:

     

    • Supervises administrative support functions and staff as needed, including receptionist and document control clerk, and possibly secretaries and file clerks.
    • Supervisory duties include coordination of day-to-day activities, addressing performance issues, and recommending pay actions.
    • Supervises document control activities, including drawing control, project file management and use of electronic file storage system for project filing.
    • Advises management regarding various HR polices and procedures, as well as applicable federal and state regulations.
    • Provides guidance regarding the disciplinary process . Participates in new hire safety orientation by explaining EEO, Worker's Comp, and site specific rules and regulations.
    • Collects or coordinates timesheet collection and entry for professionals and/or craft personnel . Supervises all field accounts payable (AP) duties including the entry of purchase orders, matching of invoices with materials receiving reports, and submittal of documentation to home office AP for payment.
    • Maintains office equipment. 
    • Serves as project site's IT liaison for office equipment and connecting lines, which includes troubleshooting and working with home office IT staff on more complex issues.
    • Assists Project Field Management with administering and communicating policies and procedures.
    • Assists in project site mobilization and demobilization activities involving project team and equipment.
    • Coordinates set up of office and equipment by working with IT Coordinator and equipment vendors.
    • Enters cost code information for Procurement cards, approves purchases when necessary, and submits corresponding documentation to home office procurement.
    • May be responsible for providing administrative support for startup operations, engineering, project controls and/or procurement activities.
    • May purchase office equipment and supplies.
    • Coordinates craft recruitment, hiring, employee orientation, interpretation of procedures and policies, and terminations.
    • Processes new hire craft paperwork and enters data into the human resource information system.
    • Processes craft personnel transactions (manually and electronic), including transfers, promotions, pay rate changes, leaves of absence, field allowances, terminations, personal changes, and status changes . Coordinates weekly craft payroll with home office payroll staff.
    • May track man hours and assign corresponding cost codes to craft timesheets.
    • May be responsible for administering substance abuse testing.
    • May participate in unemployment hearings for craft, conduct research, and collect related documentation.
    • Supports continuous improvement efforts and the change management effects associated with the implementation of improvements.
    • May supervise work of others.
    • Responsible for hiring, discipline, and pay administration of their subordinates.
    • List supervised positions: Payroll, Document Control, Receptionist and other Administrative staff.

     

    MINIMUM QUALIFICATIONS:

     

    • 3+ years relevant experience required.
    • Some related open shop and/or union experience required.
    • Some Direct Hire experience required for Direct Hire assignments.

     

    PREFERRED QUALIFICATIONS: 

     

    • High School Diploma or Equivalent.
    • Human Resources and PeopleSoft experience preferred.
    • Some supervisory experience preferred.

     

    PREFERRED SKILLS:  

     

    • Knowledge of administrative policies and procedures.
    • Knowledge of HR policies and procedures.
    • Knowledge of employment law, FMLA, ADA.
    • Knowledge of HRIS policies and procedures.
    • Knowledge of time reporting policies and procedures.
    • Knowledge of expense reporting policies and procedures.
    • Knowledge of electronic file storage system.
    • Supervisory skills.

     

     

    Required Skills Required Experience

  • Qualifications

    These tasks include, but not limited to the following: • Follow up on all claims from billing through final resolution. • Correct and identify billing errors and resubmit claims to insurance carriers. • Follow up on payment errors, low reimbursement, denials etc. • Review Insurance EOB and initiate appeals as necessary. • Ensure maximization of collection dollars from insurance companies in accordance with the respective contracts. • Obtain corrected information and request rebills. • Respond to payer’s request for additional information/documentation. • Confer with Billers & Coders, as necessary, to obtain additional information/clarification. • Co-ordinate requests for medical records. • Posting account adjustments as a result of written communication from third parties (i.e. certain contractual adjustments, etc.). • Provides balance breakdown to document the status, i.e., primary payor balance, secondary or credit balance, patient balance. • Provide clear and concise documentation of every action taken on an account in the system collection notes