Collector I

JOB SUMMARY:

• Under supervision, the Collector I will be 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.

EXPERIENCE/QUALIFICATIONS:

• Experience in a health care setting is highly desired
• Displays good communication skills, both verbal and written when dealing with all customers.
• Demonstrates knowledge and the ability to utilize CPT/-ICD-9/ICD-10 and UB-04 reference material.
• Knowledge of CWF, POS device, Internet, payer web-sites and Electronic billing systems.

EDUCATION:

• High school diploma or equivalent

LICENSURES/CERTIFICATION:

• Must successfully complete and maintain LA City Fire Card certification at the time of hire or within the first 30 days of employment

DUTIES AND RESPONSIBILITIES ( These are the essential job functions for this position. The essential functions of this job include, but may not be limited to those listed in this job description. Employees hired for this position must be able to perform the essential function of this job without imposing significant risk of substantial harm to the health or safety of themselves or others) :

• Consistently maintains the targeted level of days in receivable for assigned accounts.
• Monitors accounts efficiently, concentrates collections efforts on high dollar accounts, refers non-collectable accounts to agencies within prescribed time frames.
• Researches accounts to resolve disputes or questions, documents and follows-up on assigned accounts in a timely and complete manner.
• Interacts effectively with patients and guarantors. Responds timely to patient inquiries; resolves account problems satisfactorily.
• Initiates bad debt write-offs for non-collective accounts and forwards to leadership for approval.
• Accurately maintains individual procedure manual for specific area of responsibility.
• Reviews accounts to ensure payments and adjustments are posted correctly.
• Demonstrates knowledge of DRG/Per Diem/Contract reimbursement.
• Knowledge of the authorization and reimbursement regulations.
• Understands the difference between an ROI and a denial
• Refers denied accounts timely to the “denials team” according to policy
• Explains financial and hospital policies and procedures to patients satisfaction and understanding.
• Researches accounts to resolve disputes or questions.
• Researches aged and no-activity accounts utilizing hospital reports.
• Performs collection activity, including mailing letters, statements and (CCI) pre-collections/notices.
• Maintains high degree of accuracy in all areas of responsibility. Audit accounts for accuracy of information.
• Performs other duties as assigned.

Must Haves:

!, Collections experience.

2.  Previous experience within a hospital/medical facility.