Collector

Loma Linda University Health; San Bernardino (CA); On-site; USD 55,000 - 75,000; Full time

Job summary

Loma Linda University Health is seeking a Collector to perform A/R collections and billing on assigned projects, ensuring correct coding and proper payment application.

The role analyzes accounts, follows up with payors, handles inquiries, resolves balance issues, and supports related tasks as needed. Epic experience is preferred and a strong attention to detail is essential.

Qualifications

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

Responsibilities

• 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 inquiries and correspondence and takes appropriate collection actions such as appeals, rebilling, and follow-up.

Skills

Billing accuracy

Accounts receivable

Data entry

Problem solving

Communication

Microsoft Excel

Education

High school diploma or GED

Business/Accounting courses

Tools

Word

Excel

Outlook

PowerPoint

Job description

Department:

UHC: FPBO - Team D

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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