Collector
Job Summary : The Collector performs A / R collections and billing via assigned special projects, involving multiple insurance contracts & entities.
Verifies that patient services are coded correctly and payment has been applied properly. Analyzes and audits accounts for correct balance, proper follow-up and complete reimbursement.
Monitors collection issues and resolves with payor. Processes phone-online and paper inquiries and correspondence taking appropriate collection actions that may include : working rejections / denials, calling for status, tracer claims and rebilling.
Identifies misapplied payments and requests payments, adjustments / transfers or refunds. Performs other duties as needed.
Education and Experience : High School Diploma or GED required. College level courses in Business and / or Accounting preferred.
Minimum three years previous experience in Commercial / Contract or Managed Medi-Cal billing, auditing and collecting preferred. Epic experience preferred.
Knowledge and Skills : Knowledge of Government / CPT and ICD coding, medical terminology and the ability to read and interpret EOBs required.
Able to keyboard 40 wpm. Able to use a computer, printer, and software programs necessary to the position (e.g., Word, Excel, Outlook, PowerPoint).
- Operate / troubleshoot basic office equipment required for the position. Able to work calmly and respond courteously when under pressure;
- collaborate and accept direction. Able to think critically; manage multiple assignments effectively; organize and prioritize workload;
work well under pressure; problem solve; recall information with accuracy; pay close attention to detail; work independently with minimal supervision.
Able to distinguish colors as necessary; hear sufficiently for general conversation in person and on the telephone, and identify and distinguish various sounds associated with the workplace;
see adequately to read computer screens, and written documents necessary to the position.
Licensures and Certifications : None
Our mission is to continue the teaching and healing ministry of Jesus Christ. Our core values are compassion, excellence, humility, integrity, justice, teamwork and wholeness.