Collector 2Loma Linda University Health • San Bernardino, CA, US
No longer accepting applications
Collector 2
Loma Linda University Health • San Bernardino, CA, US
15 hours ago
Job type
Full-time
Job description
Responsibilities
Anlalyzes 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 company's 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.
Qualifications
Education and Experience : Minimum three years of experience in healthcare billing, auditing, managed care or collections required; preferably in hospital billing.
Knowledge and Skills : Proficient in automated billing, follow-up and adjudication systems required (LLEAP / Epic, Assurance, DDE, FISS, Medi-Cal website, and Noridian Medicare Portal).
Knowledge and Skills : Proficient in UB04, CPT, HCPC, ICD-10, and EOB.
Knowledge and Skills : Able to perform 10-key.
Knowledge and Skills : Able to read and write in English; able to use computer, printer, and software programs necessary to the position (Word, Excel, Outlook, PowerPoint).
Knowledge and Skills : Operates and troubleshoots basic office equipment.
Knowledge and Skills : Able to relate and communicate positively, effectively, and professionally with others; work calmly and respond courteously when under pressure; collaborate and accept direction.
Knowledge and Skills : Able to communicate effectively in English in person, in writing, and on the telephone; think critically; manage multiple assignments; organize and prioritize workload; work well under pressure; problem solve; recall information with accuracy; pay close attention to detail; work independently with minimal supervision.
Knowledge and Skills : Able to distinguish colors as necessary; hear sufficiently for general conversation in person and on the telephone; see adequately to read computer screens and written documents.