The Collector 2 analyzes and interprets managed care contract language, terms, conditions, and responsibility matrices. This role performs telephone and written follow-up with insurance companies, government payers, third-party payers, workers' compensation payers, medical groups, outside hospitals, and physician offices to ensure timely payment for inpatient and outpatient hospital bills. The position works to ensure payers adhere to compliance laws regarding timely claim processing, identifies barriers to payment, secures payment dates, escalates unresolved accounts when needed, and develops collection recovery strategies to maximize reimbursement and reach account closure.
• Minimum three years of experience in healthcare billing, auditing, managed care, or collections required; hospital billing experience preferred. • Intermediate knowledge of automated billing, follow-up, and adjudication systems, including LLEAP/Epic, Assurance, DDE, FISS, Medi-Cal website, and Noridian Medicare Portal. • Intermediate knowledge of UB-04, CPT, HCPC, ICD-10, and EOB required. • Ability to use 10-key. • Ability to read, write legibly, and communicate professionally in English in person, in writing, and by phone. • Proficiency with computer applications such as Word, Excel, Outlook, and PowerPoint. • Ability to operate and troubleshoot basic office equipment. • Strong attention to detail, critical thinking, organization, prioritization, and problem-solving skills. • Ability to work independently, manage multiple assignments, and remain calm under pressure.
Location
San Bernardino, California, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
1 month ago