Xifin, Inc. Simi Valley , CA 93062
Posted 2 months ago
Who are we looking for?
The Account Specialist will follow all processes in the pursuit of unpaid claims in a timely matter. Must be able to handle requests from payers and patients timely, must be familiar with PPO, HMO, Medicare, Medicaid, and/or Worker's Compensation collections processes.
Follow up with Insurance companies, HMO & PPO, Worker's Comp, and Government payors
Check claim status on payor websites and Clearing Houses; phone & email communication with payors as needed
Develop contact with insurance companies, review online capabilities & communicate any updates to Account Manager
Update insurance information, patient demographics, missing information & document all communication in patient account notes
Prep payor and patient correspondence and EOB's to be worked
Ensure appeals are completed accurately and timely
Stay informed on changes pertaining to insurance companies & plans, contract terms & changes
Handle paper billing, mailing, and special arrangement documentation
Meet daily KPI's, working appropriate queues, and assist in working backlog in Claims
High school diploma, bachelor's degree preferred
Working knowledge of MS Office Suite & ability to navigate multiple software programs
Excellent organizational skills, multitasking & detail oriented
Professional oral, written and interpersonal communication skills
Team player with the ability to work effectively with cross-functional teams
If you are an individual with a disability and would like to request a reasonable accommodation as part of the application or recruiting process, please contact us at 858-436-2901.
XIFIN is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.