Collector II

Collector II

About Valley Presbyterian Hospital

Valley Presbyterian Hospital is a beacon of health in the San Fernando Valley, committed to providing outstanding care and improving community health. We are seeking an experienced and detail-oriented Collector to join our dedicated team.

Position : Collector II

What You'll Do : Under supervision, the Collector II is responsible to manage assigned accounts from the point of billing until the account is paid or referred to an outside agency. Must interact effectively with internal and external customers. Must be able to comprehend and follow policies and procedures. Must present a professional image of the Business Office at all times.

• Consistently maintains the targeted level of days receivable for assigned accounts.
• Monitors HD (high dollar) accounts assigned; inventory usually over 10k.
• Required follow-up bi-monthly due to financial impact.
• Able to prepare cumulative payer report for stop loss reimbursement immediately at time of FB (final bill).
• Must be able to monitor high dollars on all levels according to guidelines provided.
• Maintains payer stop loss threshold provision listing and provide update to PFS team.
• Research accounts to resolve disputes or questions, documents and follows-up on assigned accounts in a timely and complete manner.
• Interact effectively with patients and guarantors. Responds timely to patient inquiries; resolves account problems satisfactorily.
• Accurately maintains individual procedure manual for specific area of responsibility.
• Reviews accounts to ensure payments and adjustments are posted correctly.
• Maintains timely review and status on non-government A / R projects.
• Prepare payer projects providing claim detail summary.
• Escalate issue trends to management for additional follow up.
• Assists with managed care contract feedback regarding contract interpretation concerns.
• Assists with weekly, monthly payer conference call discussions regarding real-time trends / issues.
• Reviews and validates final payer project summary statistics reconciling accounts to ensure data is clean for presentation.
• Provides weekly minutes of collector networking meetings.
• Demonstrates knowledge of DRG / Per Diem / Contract reimbursement.
• Knowledge of authorization and reimbursement regulations.
• Understands the difference between ROI and denial.
• Appeal underpaid and denied account according to policy.
• Explain financial and hospital policies and procedures to patients' satisfaction and understanding.
• Maintains a high degree of accuracy in all areas of responsibility.
• Demonstrates knowledge and the ability to utilize CPT / ICD-10 and UB-04 reference material.
• Displays good communication skills, both verbal and written when dealing with all customers.
• Performs other duties as assigned.

What We're Looking For :

EXPERIENCE / QUALIFICATIONS :

EDUCATION :

LICENSURES / CERTIFICATION :

Why You'll Love Working Here :

Ready to Elevate Your Career? Join us at Valley Presbyterian Hospital and be a part of a team dedicated to excellence. Apply today to make a difference!

Salary : $24.73 - $30.84 per hour

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