Collector

Loma Linda • San Bernardino, CA

4d • $25 - $28

About The Position

The Collector performs accounts receivable collections and billing through assigned special projects involving multiple insurance contracts and entities. The role verifies that patient services are coded correctly and payments have been applied properly, and analyzes and audits accounts to ensure correct balances, appropriate follow-up, and complete reimbursement.

The Collector monitors collection issues and resolves them with payors. The role processes phone, online, and paper inquiries and correspondence, taking appropriate collection actions such as working rejections and denials, calling for claim status, tracing claims, and rebilling. It also identifies misapplied payments and requests payments, adjustments, transfers, or refunds. Other duties may be performed as needed.

Requirements

• High school diploma or GED.
• Knowledge of Government/CPT and ICD coding, medical terminology, and the ability to read and interpret EOBs.
• Ability to use a computer, printer, and necessary software programs, such as Word, Excel, Outlook, and PowerPoint.
• Ability to operate and troubleshoot basic office equipment required for the position.
• Ability to work calmly and respond courteously under pressure, collaborate, and accept direction.
• Ability to think critically, manage multiple assignments, organize and prioritize workload, problem-solve, recall information accurately, pay close attention to detail, and work independently with minimal supervision.
• Ability to distinguish colors as necessary, hear sufficiently for general conversation in person and by telephone and identify workplace sounds, and see adequately to read computer screens and written documents necessary to the position.
• Candidates must understand and embrace Loma Linda University Health's mission, purpose, and identity.

Nice To Haves

• College-level courses in Business and/or Accounting.
• At least three years of previous experience in Commercial/Contract or Managed Medi-Cal billing, auditing, and collecting.
• Epic experience.

Responsibilities

• Perform accounts receivable collections and billing for assigned special projects involving multiple insurance contracts and entities.
• Verify that patient services are coded correctly and payments have been applied properly.
• Analyze and audit accounts for correct balances, proper follow-up, and complete reimbursement.
• Monitor collection issues and resolve them with payors.
• Process phone, online, and paper inquiries and correspondence.
• Take collection actions, including working rejections and denials, calling for status, tracing claims, and rebilling.
• Identify misapplied payments and request payments, adjustments, transfers, or refunds.
• Perform other duties as needed.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED