Collector

Loma Linda University Health; San Bernardino (CA); Sur place; USD 45 000 - 65 000; Plein temps

Résumé du poste

Loma Linda University Health is seeking a Collector to manage A/R collections and billing on assigned projects. The role involves verifying correct coding, ensuring payments are applied, and analyzing accounts for accurate balances and reimbursement.

Responsibilities include handling phone, online, and paper inquiries, following up with payors, resolving issues such as denials, and identifying misapplied payments. Epic experience is preferred.

Qualifications

• High School Diploma or GED required; college-level business/accounting coursework preferred.
• Minimum three years experience in Commercial/Contract or Managed Medi-Cal billing and collections.
• Knowledge of Government CPT/ICD coding and ability to read EOBs.

Responsabilités

• Perform A/R collections and billing on assigned projects.
• Verify correct coding and payment application for patient services.
• Analyze accounts for balance accuracy and reimbursement; follow up with payors.

Connaissances

A/R collections

Billing

Medical terminology

Attention to detail

Multitasking

Problem solving

Under pressure communication

Formation

High School Diploma or GED

College-level courses in Business/Accounting

Outils

Epic

Description du poste

Department

UHC: FPBO - Team A

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

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