The Collector is responsible for accurate and timely billing and collection of outstanding receivables from third-party payers and payer representatives. The role maintains accurate account balances in accordance with contractual obligations, fee schedules, and applicable regulations.
- Reviews third-party claims for accuracy and completeness using patient accounting systems and submits claims within timely filing restrictions.
- Performs follow-up activities by telephone or electronic inquiry on accounts with outstanding balances.
- Resolves issues that may delay claim adjudication and involves the patient or guarantor as needed.
- Documents follow-up activity clearly and concisely in the patient accounting system.
- Resubmits claims to payers as necessary, including secondary or tertiary plan claims.
- Ensures accurate account balances for proper processing and reporting, including contractual allowances, adjustments, and balance transfers.
- Coordinates with revenue cycle staff, Utilization Review/Case Management, and site leadership to support timely and accurate claims payment.
- Researches and resolves credit balance accounts identified by payers or aging reports.
- Completes daily and weekly productivity and performance reporting.
- Performs other duties and projects as assigned.
The work environment is fast-paced, can be stressful, and involves frequent interruptions and multiple calls or inquiries.
Requirements & Qualifications
- High school diploma or equivalent required.
- Previous experience interpreting insurance plan benefits, conditions of payment, and billing requirements.
- Previous customer service experience in a similar field is beneficial.
- Experience with Microsoft Office products and general patient accounting systems.
- Knowledge of third-party payers, Medicare, Medicaid, and other payer requirements.
- Effective communication skills for phone contacts with insurance payers.
- Strong customer service skills for interacting with patients and family members.
- Ability to work in a team environment and with minimal supervision.
- Strong understanding of confidentiality and compliance with applicable federal and state regulations.
Location
Louisiana, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
No
Posted
4 weeks ago
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