CBO Collector

LCMC Health; Irvine (CA); On-site; USD 42,000 - 56,000; Full time

Benefits offered by this job

Deliver healthcare with heart

Give people a reason to smile

Bring some lagniappe into everything

One-of-a-kind care

Job summary

LCMC Health is seeking a Collector to support our healthcare financial team. In this role you will research billing issues and contact patients to resolve payments, while helping them understand and manage medical bills.

The goal is compassionate, clear communication that reduces barriers to timely reimbursement. You will collaborate with patients, insurers, and providers, identify underpayments and denials, review EOBs, and document all activity in patient accounts.

Qualifications

• High school diploma or GED or healthcare experience preferred.
• Ability to discuss bills and payment options with patients empathetically.
• Knowledge of HIPAA and patient confidentiality.

Responsibilities

• Research billing issues and follow up on daily accounts for timely resolution.
• Identify underpayments, analyze denials, and process appeals as needed.
• Review posted payments and adjustments for accuracy.
• Analyze EOBs to ensure proper reimbursement and documentation.
• Document activity on patient accounts and communicate with payers.
• Collaborate with internal departments and external organizations to resolve reimbursements.
• Monitor trends in underpayments/denials and report findings.
• Adhere to HIPAA and other regulations; maintain ethical behavior.

Skills

Healthcare billing experience

Empathy and communication

Problem-solving

Education

High School Diploma or GED

Job description

Your job is more than a job

As a Collector you're a vital member of the healthcare financial team, researching billing issues and communicating with patients for payment resolution. But it's more than just collecting money. You're also helping patients understand and manage their medical bills. So, you understand that working out a payment plan or finding financial options can make a real difference in someone's life.

With an empathetic approach, you simplify and walk patients through the bill resolution process during what may be a stressful time in their healthcare journey. You bring your people skills, professional attitude, and problem-solving ability as you interact with patients, insurance companies, and healthcare providers. No problem, you say, because you're focused on building your future in an environment committed to growth and a culture committed to personal well-being. We love your positivity.

Your experiences, knowledge, skills, empathy, team mentality, and your "little something extra" all add up to you. And we're excited to get to know you and find out what you'll bring to this billing and collection role.

Your Everyday

• Maintain responsibility for accurate and timely completion of daily follow-up or denial account assignment.
• Identify and analyze underpayments to identify reasons for discrepancies and process denials and appeals as needed.
• Review posted payments and adjustments to ensure accuracy.
• Analyze EOBs to ensure proper reimbursement.
• Conduct relevant research to complete the appeals process to include assessing, complete and accurate documentation, tracking, responding to, and / or resolving appeals with third party payers in a timely manner.
• Communicate with payers on outstanding claims, resolve payment variances and achieve timely reimbursement.
• Document all activity on the patient account.
• Collaborate with internal departments and external organizations to ensure correct reimbursement and resolve appeals.
• Monitor underpaid and denied claims for trends and identify root causes and reports findings to supervisor.
• Observe best practice processes in follow-up and customer service activities.
• Participate in staff training that aligns with recognized improvement opportunities and increases understanding of Medicare/Medicaid requirements as well as general follow-up processes.
• Act in accordance with LCMC Health's mission and values, while serving as a role model for ethical behavior.
• Adhere to federal and state regulations related to the protection of patient information (e.g., the Health Insurance Portability and Accountability Act (HIPAA) as well as facility-specific guidelines.

The Must-Haves

• A high school diploma/ GED or appropriate work experience in healthcare particularly in billing, collections, payment processing, or denial management is preferred.
• WORK SHIFT: Days (United States of America)

LCMC Health is a community.

Our people make health happen. While our NOLA roots run deep, our branches are the vessels that carry our mission of bringing the best possible care to every person and parish in Louisiana and beyond and put a little more heart and soul into healthcare along the way. Celebrating authenticity, originality, equity, inclusion and a little "come on in" attitude is the foundation of LCMC Health's culture of everyday extraordinary

Your extras

• Deliver healthcare with heart.
• Give people a reason to smile.
• Put a little love in your work.
• Be honest and real, but with compassion.
• Bring some lagniappe into everything you do.
• Forget one-size-fits-all, think one-of-a-kind care.
• See opportunities, not problems - it's all about perspective.
• Cheerlead ideas, differences, and each other.
• Love what makes you, you - because we do

You are welcome here.

LCMC Health is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.

The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary.