DETAILS ABOUT THE POSITION

MUST HAVE 3 years of recent collections experience in a HOSPITAL, not a clinic or doctor’s office
Job Description:
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:

• Understands billing/follow up and collection procedures and is able to balance all accounts correctly.
• Follows up on previously billed accounts by reviewing accounts on a biweekly or monthly basis to determine possible sources of payment or payment issues.
• Contacts third party payers to establish reimbursement status i.e., reason for discrepancy between expected and actual reimbursed amounts of data of issuances.

Required Experience:

• 3 years minimum of hospital collections experience and contract knowledge
• Knowledge of UB04 requirements and familiarity with medical billing processes.

Please refer the Job description for details