Collector 2

LOMA LINDA UNIVERSITY HEALTH; San Bernardino (CA); On-site; USD 50,000 - 70,000; Full time

Job summary

A healthcare institution in San Bernardino, California, is seeking a Collector 2 to analyze Managed Care contracts and ensure timely payments for hospital bills. Candidates must have at least three years of experience in healthcare billing, with knowledge of automated billing systems, regulations, and effective communication skills in English. This role requires attention to detail and problem-solving abilities to develop strategies for managing outstanding accounts.

Qualifications

• Minimum three years of experience in healthcare billing, auditing, managed care or collections required.
• Intermediate knowledge of automated billing systems and regulations.
• Ability to read, write, and communicate effectively in English.

Responsibilities

• Analyze and interpret Managed Care contract language and payment responsibilities.
• Perform follow-up with payers to ensure timely payments.
• Develop collection recovery strategies and pursue outstanding accounts.

Skills

Automated billing systems knowledge

UB04, CPT, HCPC, ICD10, EOB knowledge

10-Key skills

Effective communication in English

Attention to detail

Education

Experience in healthcare billing

Tools

LLEAP/Epic

Microsoft Office Suite

Job description

Job Summary

The Collector 2 analyzes and interprets Managed Care contract language, terms, conditions and responsibility matrices. Performs telephone and written follow‑up with insurance companies, government payers, third‑party payers, worker’s compensation payers, medical groups, outside hospitals, and physician’s offices to ensure timely payments for inpatient and outpatient hospital bills in accordance with the terms and conditions of each insurance companies’ policies. Ensures that payers adhere to compliance laws regarding timely processing of claims. Determines if payer needs additional information, identifies barriers, or secures payment dates. Is responsible for following through with requested information as needed in order to remove payment barriers or escalates the account to LLUH Management or Payer Management. Develops collection recovery strategies with each payer. Pursues each outstanding account to reach maximum reimbursement and closure. Performs other duties as needed.

Education and Experience

Minimum three years of experience in healthcare billing, auditing, managed care or collections required; preferably in hospital billing.

Knowledge and Skills

• Intermediate knowledge of automated billing, follow‑up and adjudication systems required (LLEAP/Epic, Assurance, DDE, FISS, Medi‑Cal website and Noridian Medicare Portal).
• Intermediate knowledge of UB04, CPT, HCPC, ICD10, and EOB required.
• Able to 10‑Key.
• Able to read, write legibly; speak in English with professional quality; use computer, printer and software necessary to the position (Word, Excel, Outlook, PowerPoint).
• Operates and troubleshoots basic office equipment required for the position.
• Able to relate and communicate positively, effectively, and professionally with others; work calmly and respond courteously when under pressure; collaborate and accept direction.
• Able to communicate effectively in English in person, in writing, and on the telephone; think critically; manage multiple assignments effectively; organize and prioritize workload; work well under pressure; problem‑solve; recall information accurately; pay close attention to detail; work independently with minimal supervision.
• Able to distinguish colors as necessary; hear sufficiently for general conversation in person and 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.