Collector Revenue Cycle

Description:

JOB OVERVIEW:

The Collector, Revenue Cycle role maintains the financial integrity of the TOI Physicians Billing and Accounts Receivables by actively and efficiently reviewing the billings and collection needs for professional services provided to our patients.

ESSENTIAL FUNCTIONS INCLUDE, BUT ARE NOT LIMITED TO:

• Billing claims according to Federal/Managed Care rules, regulations and compliance guidelines.
• Benefits determination, identification of reimbursement issues, resolution of credits and processing of refunds.
• Identification of payment variance invoices, follow up and resolution of denied claims.
• Other duties as assigned

Requirements:

QUALIFICATIONS/LICENSE:

None

EDUCATION:

High School diploma or equivalent required

EXPERIENCE:

Two years of healthcare billing and collections/financial experience required. (four year degree may substitute). Working knowledge of CPT, ICD-10 coding and Federal/managed care rules and regulations preferred.

SKILLS:

• Ability to multitask
• Proficient Microsoft Office skills
• Effectively communicate both verbal and written, to a variety of individuals.
• Excellent problem-solving skills.
• Ability to work independently and prioritize assignments.

PHYSICAL REQUIREMENTS:

The physical demands describe here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function.

• Specific vision requirements include the ability to see at close range, distance vision, peripheral vision, depth perception, and the ability to adjust focus.
• While performing the duties of this job, the employee is regularly required to talk and hear.
• Possess the ability to fulfil any office activities normally expected in an office setting, to include, but not limited to: remaining seated for periods of time to perform computer based work, participating in filing activity, lifting and carrying office supplies (paper reams, mail, etc.)
• Frequently required to stand, walk, sit, use hands to feel, and reach with hand and arms
• Occasionally lift and/or move up to 15-20 pounds.
• Fine hand manipulation (keyboarding).
• Travel may be required to existing or new TOI locations.