Insurance Collector

Central Louisiana Surgical Hospital•Alexandria, LA

2d•Onsite

About The Position

Position is responsible for working the accounts receivable to collect outstanding balances from insurance companies and patients to include working all claim denials, appeal of improper payments and resolution of credit balances. Reviews financial obligation with patient and family member. May perform pre-qualification of third party coverage of scheduled procedures. Participates in cross-training for other Business Office positions. The Central Louisiana Surgical Hospital provides specialized care for patients with specific, non-critical and non-emergent surgical admissions. The ultimate goal of the facility is to assist patients throughout their stay to a successful recovery, by providing a setting and care that is a more effective delivery of health care. This is accomplished by providing a comfortable home-like setting, in which a caring professional staff works to insure the highest level of patient care in a more cost-effective setting. Family support and involvement is promoted and encourage as well. This supports the patient’s self-image as “other-wise healthy” and facilitates a speedier return to the community, reducing health care costs and strengthening the economy at large. The surgical hospital offers procedures for the following specialties: ENT, gastroenterology, general surgery, gynecology, neurosurgery, ophthalmology, oral surgery, orthopedics, pain management, plastic surgery, podiatry and urology. In addition to surgical services, Central Louisiana Surgical Hospital has an imaging department comprised of MRI, CT, general radiology and ultrasound, as well as laboratory, pharmacy and dietary services. The facility provides a full-time staff of registered nurses, licensed practical nurses, technicians and other ancillary personnel for patient care in the perioperative setting. In addition, the facility has available necessary equipment and trained personnel for handling unforeseeable emergencies.

Requirements

High School graduate or equivalent required
Two years of medical facility or medical business office experience required
Automated billing systems experience required

Nice To Haves

Experience in customer relations preferred

Responsibilities

Maintains current information on claims adjudication and payment policies on all encountered third party payers and government intermediaries.
Maintains current information on correct and lawful practices in billing government and private payers for Prospective Payment System.
Monitors accounts receivable to identify billing errors, and timely rebilling.
Follows-up on past due accounts with patient or payers.
Reports status of accounts receivable as requested.
Provides management reports to the Business Office Manager per protocol.
Assumes clerical duties and responsibilities as necessary.
Assists with preparation and maintenance of Facility records and reports.
Answers patient and family member questions regarding financial responsibility and explains insurance requirements and refers questions to healthcare professionals when appropriate.
Communicates pertinent information from the physician, support staff, insurance companies and other significant parties to the patient.
Reports regularly to the Business Office Manager about the status of current projects or workflow.
Discuss financial obligations with patient or family member, explaining the fees and reimbursement process and responds to any patient inquiries.
Comply with facility Standards of Behavior and complete all required education assignments within the designated timeline.