The Collections Representative is responsible for reviewing inpatient and outpatient claims to ensure maximum collection dollars by providing appropriate follow up and document actions taken.
Major functions include managing a portfolio of assigned accounts, responding to correspondence, and heavy telephone contact to ensure timely follow-up and account resolution.
The follow-up collector must have the ability to perform all needed duties in the patient account system.
Skilled in usage of all Microsoft and other programs as defined by management staff.
*Qualifications:*
* Retrieves and review documentation, refund correspondence, contacts payer to discuss (if necessary) refunds requests, corrects misapplied transactions and process refunds.
* Reviews Daily credit balance report, process Insurance refunds, retrieves EOR and validates the appropriate contract terms used, applies appropriate adjustment or transactions necessary to process refund or resolve credit.
* Anthem Blue Cross credits, reviews accounts on the daily report, corrects misapplied transactions.
Once overpayment is identified, uses the appropriate account status.
* Prepares and submits refund disputes letters to payers timely.
* Summarizes and documents account expected reimbursement and all payment and adjustments transactions clearly and accurately.
* Documents all activity taken to an account in the (HIS) Hospital Information System (Epic).
* Writes clear, concise and grammatically account notes in Hospital Information System (Epic).
*Required Experience:*
* 3 years minimum of Collections experience working in a hospital on refunds
Job Type: Contract
Weekly day range:
* Monday to Friday
Experience:
* Microsoft and other programs: 1 year (Required)
* Collections experience working in a hospital on refunds: 3 years (Required)
Ability to Commute:
* Los Angeles, CA 90095 (Required)
Work Location: In person
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