Collector

Talentify; San Bernardino (CA); On-site; USD 55,000 - 75,000; Full time

Job summary

Talentify with UHC FPBO - Team C is seeking an experienced Collector to handle A/R collections and billing on assigned projects, ensuring accurate coding and timely payments.

You'll analyze accounts, monitor collection issues with payors, process inquiries and follow-up actions, and address misapplied payments or refunds, all while maintaining accuracy in a busy healthcare setting.

Qualifications

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

Responsibilities

• Perform A/R collections and billing on assigned projects.
• Verify patient services are coded correctly and payments applied.
• Analyze and audit accounts for correct balance and reimbursement.
• Monitor collection issues and resolve with payor.
• Process inquiries and take appropriate collection actions.
• Identify misapplied payments and request adjustments/refunds.
• Perform other duties as needed.

Skills

Attention to detail

Analytical thinking

Multitasking

Communication under pressure

MS Office proficiency

Reading EOBs

Color vision

Team collaboration

Education

High School Diploma or GED

College-level courses in Business and/or Accounting

3+ years experience in Commercial/Contract or Managed Medi-Cal billing

Tools

Word

Excel

Outlook

PowerPoint

Job description

Department: UHC: FPBO - Team C

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