Collector I
Collector I
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
-The Collector serves as the account representati ve for Hoag in working with insurance companiesgovernment payors and/or patients for resolution of payments and accounts resolution.
-Completes assigned accounts within assigned work queues.
-Obtains the maximum amount of reimbursement by evaluating claims at the contract rate with the use of the contract management tool for proper pricing (Examples: APC DRG APRDRG).
-Reviews and initiates the initial appeal for underpayments observing all timely requirements to secure reimbursement due to Hoag.
-Reviews and completes payor and/or patient correspondence in a timely manner.
-Escalates to the payor and/or patient accounts that need to be appealed due to improper billing coding and/or underpayments.
-Reports new/unknown billing edits to direct supervisor for review and resolution.
-Has a strong understanding of the Revenue Cycle processes from Patient Access (authorizations admissions) through Patient Financial Services (billing & collections) including procedures and policies.
-Has thorough knowledge of managed care contracts current payor rates understanding of terms and conditions as well as Federal and State requirements.
Employment Type
Full-time
