Collector II

Valley Presbyterian Hospital • Van Nuys, CA

80d • $24 - $30

About The Position

Valley Presbyterian Hospital is a beacon of health in the San Fernando Valley, committed to providing outstanding care and improving community health. We are seeking an experienced and detail-oriented Collector to join our dedicated team. The Collector II is responsible for managing assigned accounts from the point of billing until the account is paid or referred to an outside agency. This role requires effective interaction with internal and external customers, comprehension and adherence to policies and procedures, and the presentation of a professional image of the Business Office at all times.

Requirements

• 4 years of demonstrated hospital collections experience.
• Good communication skills, both verbal and written when dealing with all customers.
• Experience in Microsoft Word and Excel.
• Knowledge and ability to utilize CPT/ICD-10 and UB-04 reference material.
• Knowledge of CWF, POS device, Internet, payer websites, and Electronic billing systems.

Responsibilities

• Manage assigned accounts from billing until payment or referral to an outside agency.
• Maintain targeted level of days receivable for assigned accounts.
• Monitor high dollar accounts assigned, usually over 10k, with required follow-up bi-monthly.
• Prepare cumulative payer report for stop loss reimbursement immediately at time of final bill.
• Maintain payer stop loss threshold provision listing and provide updates to PFS team.
• Research accounts to resolve disputes or questions, documenting and following up on assigned accounts in a timely manner.
• Interact effectively with patients and guarantors, responding timely to inquiries and resolving account problems satisfactorily.
• Maintain individual procedure manual for specific area of responsibility.
• Review accounts to ensure payments and adjustments are posted correctly.
• Maintain timely review and status on non-government A/R projects.
• Prepare payer projects providing claim detail summary.
• Escalate issue trends to management for additional follow up.
• Assist with managed care contract feedback regarding contract interpretation concerns.
• Assist with weekly, monthly payer conference call discussions regarding real-time trends/issues.
• Review and validate final payer project summary statistics reconciling accounts to ensure data is clean for presentation.
• Provide weekly minutes of collector networking meetings.
• Demonstrate knowledge of DRG/Per Diem/Contract reimbursement.
• Understand authorization and reimbursement regulations.
• Appeal underpaid and denied accounts according to policy.
• Explain financial and hospital policies and procedures to patients' satisfaction and understanding.
• Maintain a high degree of accuracy in all areas of responsibility.
• Demonstrate knowledge and the ability to utilize CPT/ICD-10 and UB-04 reference material.
• Display good communication skills, both verbal and written when dealing with all customers.
• Perform other duties as assigned.

Benefits

• Supportive Environment: We prioritize teamwork, professional growth, and a positive work culture.
• Impactful Work: Your role will directly contribute to the smooth operation of our organization.
• Professional Development: We offer continuous learning and advancement opportunities to help you grow in your career.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Hospitals
• Education Level: High school or GED
• Number of Employees: 1,001-5,000 employees