What are the responsibilities and job description for the collector position at Mission Community Hospital?
Collector
Position Summary
Under the supervision of the Patient Financial Services Manager or CFO, the Collector is responsible for the collection of accounts (as defined in the Paragon system) from various insurance companies and monitor Collectors Queue on a daily basis. In addition this position is the direct liaison for billing and patient accounting programs providing support and guidance to other business office and admitting staff. Must be familiar with all the managed care contracts to ensure prompt and accurate reimbursement. Utilizing many complexes and varying regulations, guidelines and systems, analyzes payments received from insurance companies to assure maximum and correct reimbursement of receivables. Proactively works with payers and in-house resources to identify and resolve issues that hinder optimal and correct account payment. Utilizes and applies the appropriate California and Federal regulations in order to assure compliance in payment practices.
Major Responsibilities
Communication - 40%
Monitor and / or follow-up with payer in a timely manner within Collectors Queue on a daily basis
Make inquiries to insurance companies asking the appropriate questions according to situation
Take appropriate action in an attempt to resolve the account
Handle telephone voicemail requests accurately and in a timely manner
Educate and Train Collectors
Accurately document telephone calls in paragon's 'Patient Management' system
Receives, reviews and scans Business Office correspondence and distributes correspondence
to appropriate patient accounting staff to address problem or question
Appropriately identify and update patient / insurance demographic data in paragon
Identify, report, and resolve any claim problems and / or trends to management
Communicate any backlogs, high dollar claim issues, and / or payer delays to management
Follow up and resolve aged accounts on monthly ATB
Recognized and performs essential duties and offering assistance to others or performing
other required tasks when own assignments are completed
Other duties as assigned by Business Office Manager or CFO
Research - 40%
Review and resolve any incoming correspondence with 72 hours of receipt
Appeal underpayments and denials within the payer or AB1455 guidelines in a timely
manner
Quickly comply with any and all payor requests for additional info to expedite payment
Review overpaid accounts and process third party refunds within AB1455 guidelines
Manage & Handle aging of accounts in individual Collector Queue within acceptable range
Review and calculate all contract and non-contract payments to ensure accurate
reimbursement on a daily basis
Submit appropriate and accurate adjustments as needed
Accurately documents account balances in paragon's 'Patient Management' system
Work accounts with a "One Touch to Resolution" methodology for expedient resolution
Miscellaneous / Other - 20%
Prepare and turn in daily productivity sheets in a timely manner
Assist on any special project as assigned by Business Office Manager or CFO
QUALIFICATIONS : Required :
Minimum of three years billing and collection experience in an automated environment
High school diploma or GED required
Medical and Insurance terminology essential
Knowledge of CPT, ICD10, HCPCS coding structures
Ability to work with general supervision to perform tasks assigned effectively and in a timely manner
Ability to communicate in writing to generate letters, memorandums, and e-mails to hospital staff and external parties in order to explain situations, document problems or agreements
Ability to communicate verbally efficiently and effectively with the various personnel and external parties this position is required to interact with
Proficiency in Microsoft Office applications (Excel, Word)
Ability to learn computer applications used in the Business Office
Ability to train Business Office staff on applications
Ability to utilize ten key calculator
Ability to evaluate and problem solve independently
Keep a pulse on the job market with advanced job matching technology.
If your compensation planning software is too rigid to deploy winning incentive strategies, it’s time to find an adaptable solution.
Compensation Planning
Enhance your organization's compensation strategy with salary data sets that HR and team managers can use to pay your staff right.
Surveys & Data Sets
What is the career path for a collector?
Sign up to receive alerts about other jobs on the collector career path by checking the boxes next to the positions that interest you.
