Non-Clinical - Finance/Accounting - Collections Representative

22nd Century Technologies, Inc.

Los Angeles, CA

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JOB DETAILS

SKILLS

Accounting, Accounting Software, Analysis Skills, Billing, Billing Records, Billing Software, Claims Management, Claims Processing, Communication Skills, Credit and Collections, Customer Support/Service, Finance, Government, Government Billing, Government Regulations, HIPAA (Health Insurance Portability and Accountability Act), Healthcare Software, Internet Application, Leadership, Maintain Compliance, Managed Care, Medical Billing, Medicare, Microsoft Excel, Microsoft Office, Microsoft Word, Multitasking, Office Equipment, Organizational Skills, Outpatient Care, Patient Care, Patient Confidentiality, Performance Management, Problem Solving Skills, Procedure Development, Quality Metrics, Regulatory Compliance, Regulatory Requirements, Reimbursement, Systems Maintenance, Third-Party Payer, Time Management, Work From Home

LOCATION

Los Angeles, CA

POSTED

23 days ago

Shift: Day 5x8-Hour (08:00 - 17:00)

***ALL CANDIDATES MUST BE W2 EMPLOYEES OF THE SUBMITTING AGENCY***

Collections Representative Government Billing
Location: Hybrid. Will train onsite at 10920 Wilshire Blvd Suite 1600, Los Angeles, CA. Once trained, will work remotely
Duration: 17 weeks to cover LOA

Position Summary
The Collections Representative Government Billing is responsible for the accurate and timely billing of inpatient, outpatient, and laboratory claims to government and third-party payers. This role ensures compliance with payer regulations, billing guidelines, and timely filing requirements while maintaining account accuracy and maximizing reimbursement.

Minimum Qualifications
" High school diploma or equivalent required.
" 2-5 years of experience in Medicare Billing and collection for inpatient and outpatient
" Proficiency with standard office equipment and computer applications.

Key Responsibilities
Claims Billing & Processing
" Review and analyze accounts to determine appropriate billing procedures based on payer type, financial class, and claim requirements.
" Prepare, review, and submit electronic and paper claims in accordance with federal, state, payer, and organizational guidelines.
" Verify claim accuracy, including demographics, charges, authorizations, coding, and supporting documentation.
" Research and obtain missing information from internal departments and external sources as needed.
" Monitor and resolve claim edits, rejections, denials, and billing exceptions.
" Submit required supporting documentation, including authorizations, medical records, consent forms, and payer-specific forms.
" Ensure compliance with timely filing requirements and payer regulations.
" Identify and bill capitated services to the appropriate responsible party.
" Maintain claim management systems and resolve claim scrubber edits and billing holds.
Account Maintenance & Adjustments
" Process account corrections, adjustments, transfers, rebills, and write-offs according to departmental procedures.
" Update payer, case, and account information accurately and document all actions taken.
" Submit adjustment requests requiring management approval when applicable.
" Maintain accurate account notes and billing documentation within patient accounting systems.
Documentation & Compliance
" Document billing activity, claim details, expected reimbursement, payments, and account actions clearly and accurately.
" Protect patient confidentiality and comply with HIPAA and organizational privacy standards.
" Adhere to all regulatory requirements, hospital policies, and billing compliance guidelines.
Quality & Performance
" Maintain established productivity and quality standards.
" Monitor accounts to ensure timely claim submission and follow-up.
" Communicate billing issues, trends, and operational concerns to leadership.
" Participate in performance improvement initiatives and process enhancement efforts.
" Support special projects and departmental objectives as assigned.
Customer Service
" Provide professional and courteous service to patients, payers, and internal stakeholders.
" Demonstrate effective communication and problem-solving skills.
" Foster positive working relationships across departments and with external partners.
Required Knowledge & Skills
" Knowledge of hospital billing practices, government payer regulations, and managed care contracts.
" Experience with electronic claims processing and patient accounting systems.
" Proficiency in Microsoft Office applications, including Word and Excel.
" Strong analytical, organizational, and problem-solving skills.
" Ability to manage multiple priorities and meet productivity and quality expectations.
" Knowledge of healthcare billing software and payer portals preferred.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

About the Company

22nd Century Technologies, Inc.

22nd Century Technologies, Inc., is one of the fastest growing IT Service Integrator and Workforce Solution companies in the United States. Founded in 1997, 22nd Century Technologies is a Certified National Minority Business Enterprise with 6,000+ people including 600+ Cyber SMEs nationwide supporting our customers in all 50 states, Canada, and Mexico. With HQs in Somerset, NJ and Mclean, VA, 22nd Century has 14 offices throughout the United States. As part of our unrelenting focus on quality and compliance, 22nd Century Technologies’ delivery is based on Certified Matured Processes including CMMI L3 Dev & SVC, ISO 20000, ISO 27001, and ISO 9001 quality processes. With a strong focus on the public sector, 22nd Century currently holds government contracts with 14 out of 15 Federal Executive agencies including DoD, 37 other Federal agencies, 50 States, 115+ Local agencies, and 37 School Districts. In the last three years, we have expanded our services to Fortune 500 and other commercial clients and currently support 80+ commercial clients.

Recognized among “Best Company to Work For” by Forbes, 22nd Century Technologies, Inc., consistently exceeds our clients’ expectations by focusing on their absolute satisfaction with jobs while keeping our employees motivated.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

COMPANY SIZE

100 to 499 employees

INDUSTRY

Computer/IT Services

FOUNDED

1997

WEBSITE

https://www.tscti.com/careers-0

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