Collector 2

Loma Linda University Health; San Bernardino (CA); On-site; USD 60,000 - 75,000; Full time

Job summary

Loma Linda University Health in California seeks a Collector 2 to analyze and interpret Managed Care contract language and to ensure timely payments for inpatient and outpatient hospital bills. You will conduct follow-up with insurance companies and payers to resolve denials and payment delays.

The role requires at least three years of healthcare billing experience, familiarity with major billing systems, and strong communication skills to interact with payers and internal teams.

Qualifications

• Minimum three years of experience in healthcare billing, auditing, managed care or collections.
• Prefer experience in hospital billing.
• Must be proficient in medical billing software and systems.

Responsibilities

• Analyze and interpret Managed Care contract language, terms, conditions, and responsibility matrices.
• Perform telephone and written follow-up with payers to ensure timely payments for hospital bills.
• Determine if payer needs additional information and escalate as needed to remove payment barriers.
• Develop collection recovery strategies with each payer.
• Pursue outstanding accounts to reach maximum reimbursement and closure.
• Follow compliance laws regarding timely processing of claims.

Skills

Professional communication

Attention to detail

Multitasking

Problem solving

English proficiency

Education

Three years healthcare billing experience

Tools

LLEAP/Epic

Assurance

DDE

FISS

Medi-Cal Portal

Noridian Medicare Portal

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 programs necessary to the position (e.g., 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 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.