Collector

Department: UHC: FPBO - Team D

Job

Summary:

The Collector performs A/R collections and billing via assigned special projects, involving multiple insurance contracts & entities. Verifies that patient services are coded correctly and payment has been applied properly. Analyzes and audits accounts for correct balance, proper follow-up and complete reimbursement. Monitors collection issues and resolves with payor. Processes phone-online and paper inquiries and correspondence taking appropriate collection actions that may include: working rejections/denials, calling for status, tracer claims and rebilling.

Identifies misapplied payments and requests payments, adjustments/transfers or refunds. Performs other duties as needed.
Education and

Experience:

• High School Diploma or GED required.
• College level courses in Business and/or Accounting preferred.
• Minimum three years previous experience in Commercial/Contract or Managed Medi-Cal billing, auditing and collecting preferred.
• Epic experience preferred.
  Knowledge and

Skills:

• Knowledge of Government/CPT and ICD coding, medical terminology and the ability to read and interpret EOBs required.
• Able to use a computer, printer, and software programs necessary to the position (e.g., Word, Excel, Outlook, PowerPoint).
• Operate/troubleshoot basic office equipment required for the position.
• Able to work calmly and respond courteously when under pressure; collaborate and accept direction.
• Able to 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