Collector

Loma Linda-posted about 4 hours ago

Full-time • Entry Level

San Bernardino, CA

5,001-10,000 employees

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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.

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

High School Diploma or GED required
Minimum three years previous experience in Commercial/Contract or Managed Medi-Cal billing, auditing and collecting preferred
Knowledge of Government/CPT and ICD coding, medical terminology and the ability to read and interpret EOBs required
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

College level courses in Business and/or Accounting preferred
Epic experience preferred

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