Collector

Loma Linda University Health; San Bernardino (CA); In loco; USD 55.000 - 75.000; Tempo pieno

Descrizione del lavoro

Loma Linda University Health in California seeks a Collector to perform A/R collections and billing on assigned projects, ensuring accurate coding and proper payment application. The role analyzes accounts, follows up, resolves payor issues, and handles inquiries via phone, online or mail while taking appropriate collection actions.

Strong attention to detail and the ability to work under pressure are essential.

Competenze

• High school diploma or GED required; college courses in business or accounting preferred.
• Minimum of three years in Commercial/Contract or Managed Medi-Cal billing, auditing and collecting preferred.
• Epic experience preferred.

Mansioni

• Perform A/R collections and billing on assigned projects.
• Verify patient services are coded correctly and payments applied.
• Analyze and audit accounts for balance, follow-up, and complete reimbursement.
• Monitor collection issues and resolve with payor.
• Handle phone/online/paper inquiries and take appropriate collection actions (rejections/denials, status checks, tracer claims, rebilling).
• Identify misapplied payments and request payments, adjustments/transfers or refunds.

Conoscenze

Coding knowledge (Government/CPT/ICD)

Medical terminology

EOB interpretation

Computer skills (Word, Excel, Outlook,

Office equipment operation

Under pressure problem solving

Multitasking and organization

Attention to detail

Independent work

Team collaboration

Formazione

High School Diploma or GED

College courses in Business/Accounting

Strumenti

Epic

Descrizione del lavoro

Job Description

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

About Us

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.

About The Team

Loma Linda University Health is a Seventh-day Adventist, faith and values based Christian institution. Candidates must understand and embrace the mission, purpose, and identity of Loma Linda and its affiliated entities.

We are an equal opportunity employer committed to the principles of diversity. We provide equal opportunities in all aspects of the employment process to every individual, regardless of gender, race, color, age, national origin, ancestry, physical or mental disability, marital or veteran status, genetic information or any other characteristic protected by law. In addition, we will provide reasonable accommodations for otherwise qualified individuals requesting an accommodation due to a disability. If you need accommodation assistance with accessing our job listings or completing an application, or during any other phase of employment with us, please contact Human Resources Management at [phone].

Loma Linda University Health Care is a religiously-qualified Equal Opportunity Employer under Title VII of Civil Rights Act of 1964. No question on this application is asked for the purpose of unlawfully limiting or excluding any applicant's consideration for employment because of race, color, religion, gender, age, national origin, disability, genetic information, or any other status protected by applicable law. If you need a reasonable accommodation in the hiring process, please notify Human Resource Management.

We appreciate your interest in Loma Linda and wish you success in your job search!