Collector II

Job Summary:

The Collector II is an integral member of the Business Office team, overseeing patient account management from billing to resolution.

This role involves direct interaction with both internal and external stakeholders to ensure accounts are handled efficiently and professionally.

The Collector II is adept at navigating complex billing systems and adhering strictly to healthcare financial policies and procedures while upholding the hospital's commitment to excellent patient care and community service.

Duties:


* Manage and reduce days in receivables for assigned accounts, focusing on high-dollar accounts, and ensuring bi-monthly follow-ups.


* Prepare and submit detailed reports for stop-loss reimbursement and maintain accurate records of payer threshold provisions.


* Conduct thorough research and follow-up on disputes and queries regarding patient accounts.


* Engage with patients and guarantors directly to resolve issues, ensuring patient satisfaction and adherence to hospital policies.


* Regularly review and ensure accurate posting of payments and adjustments.


* Participate in developing and revising policies and procedures to enhance the efficiency of the collections process.


* Provide regular updates and feedback on account statuses, contributing to team meetings and interdepartmental communications.


* Handle appeals for underpaid and denied claims by hospital policies.


* Maintain high accuracy in all documentation and communications. 

Education:


* High schools’ diploma or equivalent

Licenses and Certifications:


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

Experience:


* Minimum of two (2) to three (3) years of collections experience in a healthcare environment.


* Proficient in Microsoft Office Suite, particularly Word and Excel.


* Strong understanding of medical billing codes (CPT/ICD-10 and UB-04).


* Familiarity with electronic billing systems, payer websites, and online resources for healthcare billing.


* Excellent communication skills, capable of effective interaction with patients, families, and insurance companies.

Specific Responsibilities:


* Account Management:
+ Manage assigned patient accounts from the initial billing until resolution.
+ Monitor high-dollar accounts regularly to ensure they meet the financial metrics set by the hospital.
+ Follow up on accounts bi-monthly or as required, focusing on minimizing days in receivable.


* Reporting and Compliance:
+ Prepare detailed reports for stop loss reimbursements and ensure timely submission.
+ Maintain up-to-date records of payer stop loss threshold provisions.
+ Ensure compliance with all relevant healthcare billing regulations and hospital policies.


* Dispute Resolution and Patient Interaction:
+ Research and...