Medical Collector - PB Financial Services - FT Days

University of California, Irvine•Anaheim, CA

2d•Onsite

About The Position

Under the general supervision and direction of the Billing Manager, the incumbent is responsible for performing a critical function for the Physicians Billing Group (PBG) and its clientele by taking the appropriate billing, collections, or Customer Service actions to resolve an account. This requires an understanding of payer guidelines for Medicare, Medi-Cal (and its affiliates), Commercial Insurance, Workers Compensation, and various other insurance carriers. Depending on the unit the Collections Representative is assigned to, the incumbent may be required to perform any or all of the following duties: work billing editing error report(s) prior to the submittal of claims to ensure that claims are billed cleanly and free of errors, leading to prompt and maximum pro-fee reimbursement; collecting on insurance invoices/accounts with balances as generated and outlined on assigned account receivable worklists, aging reports, system target files and correspondence received and assigned.

Requirements

Possess the skill, knowledge, and ability essential to the successful performance of assigned duties.
Demonstrate customer service skills appropriate to the job.
Experience in medical professional fee billing to include Medi-Cal, Medicare, MSI, Champus, and commercial insurance carriers.
Understanding of capitation and commercial HMO.
Excellent written and verbal communication skills in English.
Effectively review and analyze patient accounts to bill and/or collect revenue for professional medical services rendered.
Ability to maintain a work pace appropriate to the workload.
Ability to establish and maintain effective working relationships across the Health System.
Ability to achieve monthly productivity standards.
Must be able to provide proof of work authorization.

Nice To Haves

Working knowledge and experience with patient registration and authorization process.
Well-developed verbal and written communication skills.
Possess knowledge of and skill in using payor websites to assess claim status or to follow-up on collections process.
Knowledge of University and medical center organizations, policies, procedures, and forms.
Experience with the Epic Billing System.
Experience in professional fee medical collections.

Responsibilities

Perform billing, collections, or Customer Service actions to resolve an account.
Understand payer guidelines for Medicare, Medi-Cal, Commercial Insurance, Workers Compensation, and other insurance carriers.
Work billing editing error reports prior to claim submission to ensure clean billing and prompt reimbursement.
Collect on insurance invoices/accounts with balances from assigned account receivable worklists, aging reports, system target files, and correspondence.