Collector

Under the supervision of the Director of Revenue Cycle or designee the Collector is responsible for performing patient account insurance follow-up credit balance review and resolution to ensure that Vista Medical Centers accounts receivable remains as accurate as possible.

Key Responsibilities:

• Review claims online as offered by individual payors to ensure timely processing.

• Contact insurance carriers by phone regarding outstanding balances and follow up as needed.

• Resubmit claims to insurance carriers when necessary.

• File appeals on technical denials and claim disputes as required.

• Validate accounts for accurate payments discounts and contractual adjustments making corrections as necessary.

• Reply promptly to insurance carrier correspondence.

• Answer incoming calls and resolve insurance issues in a timely manner.

• Process and review credit balances as assigned.

• Review credit balance accounts for incorrect contractual adjustments and make corrections as needed.

• Respond to insurance companies refund requests in writing ensuring timely resolution and avoiding inappropriate recoupments.

Qualifications:

• High school diploma or equivalent required.

• One to two years of experience in healthcare receivables.

• Strong background in credit and collections.

• Working knowledge of HMO PPO Commercial and Workers Compensation reimbursement.

• Proficiency in Managed Care contract language and interpretation.