Collector
Loma Linda University Health, San Bernardino, CA, United States
Department:
UHC: FPBO - Team C
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.
Education and Experience:
High School Diploma or GED required.
College level courses in Business and/or
Accounting preferred.
Minimum three years previous experience in Commercial/Contract or Managed Medi-Cal billing, auditing and collecting preferred. Epic experience preferred.
Knowledge and Skills:
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.
Licensures and Certifications:
None
Our mission is to continue the teaching and healing ministry of Jesus Christ. Our core values are compassion, excellence, humility, integrity, justice, teamwork and wholeness.
UHC: FPBO - Team C
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.
Education and Experience:
High School Diploma or GED required.
College level courses in Business and/or
Accounting preferred.
Minimum three years previous experience in Commercial/Contract or Managed Medi-Cal billing, auditing and collecting preferred. Epic experience preferred.
Knowledge and Skills:
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.
Licensures and Certifications:
None
Our mission is to continue the teaching and healing ministry of Jesus Christ. Our core values are compassion, excellence, humility, integrity, justice, teamwork and wholeness.