What are the responsibilities and job description for the Insurance Collector position at The Hospital at Westlake Medical Center?
Read on to find out what you will need to succeed in this position, including skills, qualifications, and experience.
Ensures timely payment and pursues collection of outstanding claims and patient balances. Appeals payer denials and underpayments in a timely manner. Utilizes knowledge of applicable federal, state, local, and collection regulations to obtain claims and patient payments. Receives and responds to billing or collection related inquiries.
Resolves claim processing issues in a timely manner identifying problem payers, claims issues, and trends. Shares issues with appropriate managerial personnel.
Performs daily review of assigned claims working within the established productivity standards and guidelines for follow-up. Maintains and updates patient accounts to reflect current and accurate payment status information.
Assesses accounts for billing, payer plan, and financial class accuracy. Makes any necessary adjustments, documenting appropriately and in a timely manner.
Reviews account balances for accuracy ensuring proper discounts and allowances have been applied. Submits adjustment request for corrections.
Receives and responds to patient inquires in a professional and timely manner.
On a daily basis, reviews and responds to correspondence received including payer inquires or requests for additional information.
Responds quickly to requests for additional information.
Maintains current knowledge in regards to methods of collection related laws, payer billing Job Description : Insurance Collector 3 and collection requirements, and hospital policy and procedures.
Cooperate with others to meet department requirements and goals.
Performs other required duties in a timely, professional, friendly and accurate manner.
High School diploma or equivalent. Two years experience in hospital business office preferred. Prefer healthcare collections experience with patient, commercial and government payors. Able to operate common computer systems, utilize hospital collections and business software.