What are the responsibilities and job description for the Submission for the position: Collector 2 (Denial Resource Center) position at Baylor Scott & White Healthcare?
JOB SUMMARY
The Collector II, under general supervision and according to established procedures, performs collection activities for assigned accounts. Reviews denied claims and audits received from insurance companies to determine accuracy. Gathers all pertinent information to support the denial, posts adjustments, contacts insurance companies by telephone or through provider portals to determine accuracy of denial. Maintains collection files on the accounts receivable system.
ESSENTIAL FUNCTIONS OF THE ROLE
Performs collection activities for assigned accounts. Contacts insurance companies to verify authorizations, level of care, denial reason(s), and / or to send claim back for reprocessing.
Has knowledge of claims, UBs, EOBs, denial reason codes, and medical insurance providers.
Maintains collection files on the accounts receivable system(s). Enters detailed records consisting of any pertinent information needed for denial / audit review.
Processes accounts for write-off. Conducts thorough research and manual calculation to determine accurate amounts due to BSWH per each individual Insurance Contract. Enters data into Patient Accounting systems to refer accounts to the
Appeal Writer team for appeal of denied claims.Through thorough review, ensures that balances on accounts are true and accurate, as well as correct any contractual or payment entries. Verifies insurance coding to ensure accurate payments.
Receives, reviews, and responds to correspondence related to accounts. Takes action as required
BENEFITS
Our competitive benefits package includes the following
- Immediate eligibility for health and welfare benefits
- 401(k) savings plan with dollar-for-dollar match up to 5%
- Tuition Reimbursement
- PTO accrual beginning Day 1
Note : Benefits may vary based upon position type and / or level
QUALIFICATIONS
