Collector, Healthcare

Overview

The Collector 1 performs telephone calls and website checks for claim status from 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 contract and/or insurance company policies. Determines if payer needs additional information, identifies barriers, and 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. Performs other duties as needed.

• Perform telephone calls and website checks for claim status from multiple payer sources to ensure timely payments for inpatient and outpatient hospital bills.
• Determine if the payer needs additional information, identify barriers, and secure payment dates.
• Follow through with requested information to remove payment barriers or escalate the account to LLUH Management or Payer Management.
• Develop collection recovery strategies with each payer.
• Perform other duties as needed.

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

• Basic knowledge of automated billing, follow-up and adjudication systems required (LLEAP/Epic, Assurance, DDE, FISS, Medi-Cal website, and Noridian Medicare Portal).
• Basic knowledge of UB04, CPT, HCPC, ICD
  10, 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.

None.