The Collector plays a critical role in ensuring timely and accurate reimbursement for professional services rendered. This position manages a portfolio of accounts, resolves straightforward and complex claims, and drives accounts to resolution. Working with minimal supervision, the Collector collaborates within a team environment to support the division’s mission and financial goals while maintaining the highest level of integrity and accuracy.
Key responsibilities include:
- Following up on assigned accounts within billing and accounts receivable systems to meet established performance goals
- Proactively resolving accounts through written and verbal communication, including first- and second-level appeals
- Verifying that all conditions for payment are met, including charges, insurance eligibility, and benefit coverage
- Reviewing and validating financial classifications, authorizations, and certifications
- Confirming accuracy of CPT and ICD coding, as applicable
- Responding promptly and accurately to inquiries from payers, patients, and authorized representatives
- Identifying and reporting trends in correspondence to management for further action
- Collaborating with internal teams and external stakeholders to gather necessary information efficiently
- Communicating with patients as needed to support account resolution
- Recommending and implementing solutions to resolve outstanding patient accounts
Requirements & Qualifications
Qualifications
- High school diploma or equivalent
- 3 to 5 years of experience performing medical functions
- Experience corresponding with patients and insurance companies to resolve patient accounts
- Extensive knowledge of insurance carrier procedures
- Experience reading Explanation of Benefits (EOB) statements
- Proven ability to handle multiple conflicting tasks
Location
California, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
3 months ago