Collector 2

Loma Linda • San Bernardino, CA

6h • Onsite

About The Position

The Collector 2 is responsible for analyzing and interpreting Managed Care contract language, terms, conditions, and responsibility matrices. This role involves extensive telephone and written follow-up with various payers, including insurance companies, government payers, third-party payers, worker's compensation payers, medical groups, outside hospitals, and physician's offices. The primary goal is to ensure timely payments for inpatient and outpatient hospital bills, adhering to the specific terms and conditions of each insurance policy and compliance laws regarding claim processing. The Collector 2 identifies if additional information is needed by payers, recognizes payment barriers, and secures payment dates. They are also tasked with providing requested information to remove payment obstacles or escalating accounts to LLUH Management or Payer Management when necessary. A key aspect of the role is developing collection recovery strategies for each payer and diligently pursuing all outstanding accounts to achieve maximum reimbursement and account closure. The position also entails performing other duties as assigned.

Requirements

• Minimum three years of experience in healthcare billing, auditing, managed care or collections required.
• Intermediate knowledge of automated billing, follow-up and adjudication systems required (LLEAP/Epic, Assurance, DDE, FISS, Medi-Cal website, and Noridian Medicare Portal).
• Intermediate knowledge of UB04, CPT, HCPC, ICD10, and EOB required.
• Able to 10-Key.
• Able to read, write legibly; 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

• Experience preferably in hospital billing.

Responsibilities

• Analyzes and interprets Managed Care contract language, terms, conditions and responsibility matrices.
• Performs telephone and written follow-up with 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 insurance companies' policies.
• Ensures that payers adhere to compliance laws regarding timely processing of claims.
• Determines if payer needs additional information, identifies barriers, or 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.
• Pursues each outstanding account to reach maximum reimbursement and closure.
• Performs other duties as needed.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 1,001-5,000 employees