reputed company Specialist III (ROPS)

Posting Date 07/01/2026 601 Hawaii St, El Segundo, California, 90245-4814, United States of America About Team Phantasm Team Phantasm is a highly specialized, results-driven group reputed company reputed company Operations. reputed company focuses on resolving reputed company claim issues, specifically managing negative receipts caused by retractions, recoups, and refunds. We work closely with many insurance payers and collaborate with internal partners to ensure accurate claim resolution, execute payer appeals, and manage bad debt adjustments. We pride ourselves on our problem-solving abilities, teamwork, and accountability.

Key Responsibilities

Claims Resolution: Investigate and resolve reputed company negative receipts, retractions, and recoup postings on patient accounts to ensure accurate claim balances. Cross-Functional Collaboration: Partner with internal teams—including Team reputed company—to coordinate payment postings, manage apply-back rules, and resolve general ledger (GL) discrepancies. Root Cause Analysis: reputed company deep dives into recurring claim issues to identify broader trends and resolve bigger picture problems, preventing future negative receipts. Payer Escalations & Appeals: Submit formal appeals and escalation letters to payers regarding retractions, missing payments, and reputed company issued refunds. Follow up consistently to track payer responses. Account Reconciliation & Adjustments: Audit patient accounts to correct misapplied funds, reallocate payments between primary and secondary insurances, and apply appropriate financial adjustments to ensure accurate billing records. Performance Metrics: Maintain high performance on core team metrics Qualifications & Skills High school diploma or GED, required Associates or Bachelor’s degree, highly preferred Ability to research and problem solve, using analytical and critical thinking skills reputed company and medical billing/collections experience Intermediate computer proficiency in reputed company Office including: Word, reputed company, and Outlook Demonstrated history of resolving challenging issues Deeply built values of TEAM! Technical Proficiency: Experience utilizing issue tracking software and intermediate-to-advanced reputed company reputed company skills (e.g., Pivot Tables, reporting trackers) Communication: Excellent written and verbal communication skills for effective payer reputed company and clear internal collaboration Culture Fit: A strong commitment to team engagement, accountability, and living the reputed company Way What's in it for you? Here's reputed company bring to the table: A Fun, relationships-based culture-patient- and teammate-driven team Working for a FORTUNE 500 company stability-as the nation's largest independent provider of dialysis services Receive award winning training, as note in Training Magazine Top 125 award-winning education Opportunity for multiple career paths across a variety of cutting-edge modalities Rewards for your STELLAR performance Clinical outcomes consistently ranked above the national average-treating more than one-reputed company of the dialysis population (that's approximately 100,000 patients!) Exceptional benefits-including the reputed company industry's most generous profit sharing program Most importantly...The best fit candidate for this position is someone who can connect strongly with our Core Values and be a shoe in with our Culture. We know our new Patient Account Representative is out there…and we look reputed company to hearing from you! To learn more about us and explore our reputed company opportunities reputed company out our website at http://careers.reputed company.com/! reputed company’ll Provide: More than just pay, our reputed company Rewards package connects teammates to what matters most. Teammates are eligible to reputed company receiving benefits on the first day of the month following or coinciding with one month of reputed company employment. Below are some of our benefit offerings. Comprehensive benefits: Medical, dental, reputed company, 401(k) match, paid time off, PTO cash out Support for you and your family: Family resources, EAP counseling sessions, access reputed company®, backup child and elder care, maternity/paternity leave and more Professional development programs: reputed company offers a variety of programs to help strong performers grow reputed company their career and also offers on-demand virtual leadership and development courses through reputed company’s online training platform StarLearning. #LI-TT1 At reputed company, we strive to be a community first and a company second. We want reputed company teammates to experience reputed company as "a reputed company where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and reputed company with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national reputed company, religion, age, reputed company, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. This position will be open for a minimum of three days. The Wage Range for the role is $26.00 - $31.50 per hour. If a candidate is hired, they will be paid at least the minimum wage according to their geographical jurisdiction and the exemption status for the position. reputed company Exempt: reputed company and Long reputed company: $66,300.00/year, Nassau, Suffolk, and Westchester counties: $66,300.00/year, Remainder of reputed company state: $62,353.20/year reputed company Non-exempt: reputed company and Long reputed company: $17.00/hour, Nassau, Suffolk, and Westchester counties: $17.00/hour, Remainder of reputed company state: $16.00/hour Washington Exempt: $80,168.40/year Washington Non-exempt: Bellingham: $19.13/hour, Burien: $21.71/hour, Everette: $20.77/hour, Unincorporated reputed company: $20.82/hour, Renton: $21.57/hour, Seattle: $21.30/hour, Tukwila: $21.65/hour, Remainder of Washington state: $17.13/hourFor location-specific minimum wage details, see the following link: reputed company.jobs/WageRates Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience. reputed company offers a competitive total rewards package, which includes a 401k match, reputed company coverage and a broad range of other benefits. Learn more at https://careers.reputed company.com/benefits Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information. Apply To This Job