What are the responsibilities and job description for the Insurance Collector position at St. Joseph's/Candler?
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Position Summary
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The primary responsibility of the Insurance Collector is to ensure that all third party professional claims and institutional claims are processed and paid; maintaining gross days in receivables at or below departmental goals, within the Hospital-Based, Central Billing Office setting. The Insurance Collector will perform all billing and follow-up activity on patient's accounts from origination to either payment in full or transfer to self-pay status. Daily activity includes but is not limited to filing, aging, follow-up on unpaid claims, identifying credit balances, documenting needed information and handling all insurance / patient contact in a professional manner. Whenever assigned, payment posting duties will be completed accurately and within departmental guidelines; working under the direct supervision of the CBO Team Lead. The Insurance Collector must maintain open communications and is available to component organizations and practitioner sites for consultation.
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Education
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Associates of Business - Preferred
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Experience
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3-5 Years Relevant Experience in Medical Accounts Receivable. - Preferred
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License & Certification
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None Required
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Core Job Functions
- Resolves payer denials promptly and appropriately. Updates account Insurance demographic information accordingly. Rebills accounts when necessary and documents all action taken.
- Acts upon computer reminders promptly and appropriately. Uses the most effective follow up method needed. Documents all action taken.
- Files claims as assigned. Follows up on secondary aged accounts according to established time parameters. Resolves reminders promptly.
- Reviews and responds appropriately to correspondence according to established time parameters. Documents all action taken. Ensures correspondence is scanned to the account.
- Resolves payer denials promptly and appropriately. Mails paper claims promptly to the proper address. Re-bills accounts when necessary.