Collector

Job Description

Responsible for consistent insurance follow-up of any claim(s) greater than 30 days, aged from final bill date, and resolution of same in a timely and cost effective manner. This requires forming relationships with the individual insurance payers/clients in order to have the maximum response for timely and accurate payment.  Monitor patient accounts assigned for accurate payment(s) or non-payment and take compliant actions for account reimbursement. 

 

ESSENTIAL FUNCTIONS/PERFORMANCE EXPECTATIONS

·         Able to read, understand and explain insurance carrier contracts and different types of reimbursement as well as accurately figure patient cost share for specific insurances. 

·         Able to understand, explain and handle referral/authorization issues, pre-authorization requirements, verifications, appeals, and medical necessity issues.

·         Serves and protects the hospital community by adhering to hospital policies and procedures, federal, state and local requirements as well as DNV standards. 

·         Ability to read, understand and complete all A/R reports keeping up to date documentation of each patient account status in the patient account notes. 

·         Ability to respond timely to insurance and billing inquiries made in person, by mail or over the phone. 

·         Enhances Patient Account Department and hospital reputation by accepting ownership for accomplishing new and different requests while exploring opportunities to add value to job accomplishments. 

Requirements

·         High School diploma or equivalency required

·         Courses in insurance billing/collections and medical terminology preferred.

·         One year hospital business office or physician business office experience preferred.

·         Must be able to type 35 wpm and operate a personal computer with ability to use Microsoft Outlook, Excel and Microsoft Office.

·         Must have basic math skills.

Date Posted:
10/15/2013
Location:
Midland Memorial Hospital Main Campus
Midland, Texas
Type:
Full-Time
Education Level:
High School
Required Travel:
N/A
Pay Amount:
$11.18 Hourly
Category:
Business Office
Relevant Experience:
1-3 Years
Relocation Covered:
No
Shift:
Day