Collector 1

Loma Linda University HealthSan Bernardino, CA
Onsite

About The Position

The Collector 1 performs telephone calls and website checks for claim status from insurance companies, government payers, third party payers, worker's compensation payers, medical groups, outside hospitals, and physician's offices to ensure timely payments for inpatient and outpatient hospital bills in accordance with the terms and conditions of each contract and/or insurance company policies. Determines if payer needs additional information, identifies barriers, and secures payment dates. Is responsible for following through with requested information as needed in order to remove payment barriers or escalates the account to LLUH Management or Payer Management. Develops collection recovery strategies with each payer. Performs other duties as needed.

Requirements

  • Minimum one year of experience in healthcare billing, auditing, managed care or collections required.
  • Basic knowledge of automated billing, follow-up and adjudication systems required (LLEAP/Epic, Assurance, DDE, FISS, Medi-Cal website, and Noridian Medicare Portal).
  • Basic knowledge of UB04, CPT, HCPC, ICD10, and EOB required.
  • Able to 10-Key.
  • Able to read, write legibly.
  • Able to speak in English with professional quality.
  • Able to use computer, printer, and software programs necessary to the position (e.g., Word, Excel, Outlook, PowerPoint).
  • Operates and troubleshoots basic office equipment required for the position.
  • Able to relate and communicate positively, effectively, and professionally with others.
  • Able to work calmly and respond courteously when under pressure.
  • Able to collaborate and accept direction.
  • Able to communicate effectively in English in person, in writing, and on the telephone.
  • Able to think critically.
  • Able to manage multiple assignments effectively.
  • Able to organize and prioritize workload.
  • Able to work well under pressure.
  • Able to problem solve.
  • Able to recall information with accuracy.
  • Able to pay close attention to detail.
  • Able to work independently with minimal supervision.
  • Able to distinguish colors as necessary.
  • Able to hear sufficiently for general conversation in person and on the telephone, and identify and distinguish various sounds associated with the workplace.
  • Able to see adequately to read computer screens, and written documents necessary to the position.

Nice To Haves

  • Preferably in hospital billing.

Responsibilities

  • Performs telephone calls and website checks for claim status from various payers.
  • Ensures timely payments for inpatient and outpatient hospital bills.
  • Determines if payer needs additional information, identifies barriers, and secures payment dates.
  • Follows through with requested information to remove payment barriers or escalates accounts.
  • Develops collection recovery strategies with each payer.
  • Performs other duties as needed.
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