Collector

Loma Linda University; San Bernardino (CA); Sur place; USD 52 000 - 78 000; Plein temps

Résumé du poste

Loma Linda University in California seeks an experienced Collector to manage A/R collections and billing on assigned projects. The role requires careful coding verification and timely payment application, with attention to detail under pressure.

You will analyze accounts, follow up with payors, handle inquiries, and resolve denials. Experience with Government/CPT/ICD coding and basic office software is essential; Epic experience is a plus. Strong organizational skills are important for success.

Qualifications

• Experience with Commercial/Contract or Managed Medi-Cal billing, auditing and collecting.
• Epic experience preferred.
• Knowledge of Government/CPT and ICD coding and medical terminology.

Responsabilités

• Perform A/R collections and billing on assigned projects.
• Verify patient services are coded correctly and payments applied.
• Audit accounts for balance, follow-up and reimbursement.
• Monitor collection issues and resolve with payor.
• Handle inquiries and correspondences, address denials and tracers.
• Identify misapplied payments and request adjustments/refunds.
• Work independently with accuracy and meet deadlines.

Connaissances

CPT/ICD coding

Medical terminology

EOB interpretation

Microsoft Office

Office equipment

Multitasking

Attention to detail

Communication

Problem solving

Formation

High School Diploma or GED

College courses in Business/Accounting preferred

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