Collector 2

Loma Linda University Health; San Bernardino (CA); On-site; USD 45,000 - 65,000; Full time

Job summary

Loma Linda University Health is seeking an experienced Collector 2 to analyze and interpret Managed Care contract language and responsibility matrices. You will perform telephone and written follow-up with insurance payers to secure timely payments for hospital bills according to payer policies and compliance standards.

Responsibilities include identifying information gaps, escalating when needed, and developing payer-specific recovery strategies to maximize reimbursement across inpatient and

Qualifications

• Minimum three years of experience in healthcare billing, auditing, managed care or collections.
• Experience with hospital billing preferred.

Responsibilities

• Analyzes and interprets Managed Care contract language, terms, conditions and responsibility matrices.
• Performs telephone and written follow-up with payers to ensure timely payments.
• Determines if payer needs additional information and escalates as needed.
• Develops collection recovery strategies with each payer to maximize reimbursement.
• Pursues outstanding accounts to achieve payment closure.

Skills

Billing systems

Follow-up communication

10-Key

Critical thinking

Tools

LLEAP/Epic

Assurance

DDE

FISS

Medi-Cal portal

Noridian Medicare Portal

Job description

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.

About Us

Our mission is to continue the teaching and healing ministry of Jesus Christ. Our core values are compassion, excellence, humility, integrity, justice, teamwork and wholeness.

About The Team

Loma Linda University Health is a Seventh-day Adventist, faith and values based Christian institution. Candidates must understand and embrace the mission, purpose, and identity of Loma Linda and its affiliated entities.

We are an equal opportunity employer committed to the principles of diversity. We provide equal opportunities in all aspects of the employment process to every individual, regardless of gender, race, color, age, national origin, ancestry, physical or mental disability, marital or veteran status, genetic information or any other characteristic protected by law. In addition, we will provide reasonable accommodations for otherwise qualified individuals requesting an accommodation due to a disability. If you need accommodation assistance with accessing our job listings or completing an application, or during any other phase of employment with us, please contact Human Resources Management at [phone].

Loma Linda University Shared Services is a religiously-qualified Equal Opportunity Employer under Title VII of Civil Rights Act of 1964. No question on this application is asked for the purpose of unlawfully limiting or excluding any applicant’s consideration for employment because of race, color, religion, gender, age, national origin, disability, genetic information, or any other status protected by applicable law. If you need a reasonable accommodation in the hiring process, please notify Human Resource Management.

We appreciate your interest in Loma Linda and wish you success in your job search!