Collector 1

HH Health System•Huntsville, AL

About The Position

The Collector 1 reviews and audits accounts in the contract management system daily to resolve and maintain collection status before escalating accounts to a Team Lead for further review. The role reviews and processes commercial accounts through the contract and denial management system; verifies eligibility; corrects and resubmits claims; and files third-party insurance by adding or updating insurance information in the host system. The Collector uses the denial management system to respond to insurance carrier requests for additional claim information. They review EOBs, determine accurate account balances, document denial details, and identify applicable appeal processes. The role also identifies and corrects transaction issues in the host system, including invalid insurance information, incorrect charges, and posting errors, and resolves claim-processing disputes related to denials and correspondence.

Requirements

High school diploma or GED.
General application knowledge of Microsoft Excel and Word.

Nice To Haves

Six months to one year of experience in hospital or physician-office billing and collection processes, including producing account appeals with positive outcomes.
Experience in an environment using electronic billing, internal report archives, and tools for applicable database management.
Experience preparing complex correspondence to resolve accounts.

Responsibilities

Review and audit accounts in the contract management system daily to resolve and maintain collection status.
Escalate accounts to a Team Lead for further review when appropriate.
Review and process commercial accounts through the contract and denial management system.
Verify eligibility, correct and resubmit claims, and file third-party insurance as necessary by adding or updating insurance information in the host system.
Respond through the denial management system to insurance carrier requests for additional information needed to process claims.
Review EOBs and determine accurate account balances, detailed denial descriptions, and applicable appeal processes.
Identify and correct invalid insurance information, incorrect charges, and posting errors in the host system.
Resolve claim-processing disputes related to denials and correspondence received.