Collector 2
Company: Loma Linda University Health
Location: San Bernardino
Posted on: November 15, 2024
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Job Description:
Job Summary: The Collector 2 analyzes and interprets Managed
Care contract language, terms, conditions and responsibility
matrices. Performs telephone and written follow-up with insurance
companies, government payers, third party payers, worker's
compensation payers, medical groups, outside hospitals, and
physician's offices to ensure timely payments for inpatient and
outpatient hospital bills in accordance with the terms and
conditions of each insurance companies' policies. Ensures that
payers adhere to compliance laws regarding timely processing of
claims. Determines if payer needs additional information,
identifies barriers, or secures payment dates. Is responsible for
following through with requested information as needed in order to
remove payment barriers or escalates the account to LLUH Management
or Payer Management. Develops collection recovery strategies with
each payer. Pursues each outstanding account to reach maximum
reimbursement and closure. Performs other duties as
needed.Education and Experience: Minimum three years of experience
in healthcare billing, auditing, managed care or collections
required; preferably in hospital billing.Knowledge and Skills:
Intermediate knowledge of automated billing, follow-up and
adjudication systems required (LLEAP/Epic, Assurance, DDE, FISS,
Medi-Cal website, and Noridian Medicare Portal). Intermediate
knowledge of UB04, CPT, HCPC, ICD10, and EOB required. Able to
keyboard 30 wpm and 10-Key. Able to read, write legibly; speak in
English with professional quality; use computer, printer, and
software programs necessary to the position (e.g., Word, Excel,
Outlook, PowerPoint). Operates and troubleshoots basic office
equipment required for the position. Able to relate and communicate
positively, effectively, and professionally with others; work
calmly and respond courteously when under pressure; collaborate and
accept direction. Able to communicate effectively in English in
person, in writing, and on the telephone; think critically; manage
multiple assignments effectively; organize and prioritize workload;
work well under pressure; problem solve; recall information with
accuracy; pay close attention to detail; work independently with
minimal supervision. Able to distinguish colors as necessary; hear
sufficiently for general conversation in person and on the
telephone, and identify and distinguish various sounds associated
with the workplace; see adequately to read computer screens, and
written documents necessary to the position.Licensures and
Certifications: None.
Our mission is to continue the teaching and healing ministry of
Jesus Christ. Our core values are compassion, excellence, humility,
integrity, justice, teamwork and wholeness.
Keywords: Loma Linda University Health, Moreno Valley , Collector 2, Other , San Bernardino, California
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