The Collector II is an integral member of the Business Office team, overseeing patient account management from billing to resolution. This role involves direct interaction with both internal and external stakeholders to ensure accounts are handled efficiently and professionally. The Collector II is adept at navigating complex billing systems and adhering strictly to healthcare financial policies and procedures while upholding the hospital's commitment to excellent patient care and community service.
Duties:
Manage and reduce days in receivables for assigned accounts, focusing on high-dollar accounts, and ensuring bi-monthly follow-ups.
Prepare and submit detailed reports for stop-loss reimbursement and maintain accurate records of payer threshold provisions.
Conduct thorough research and follow-up on disputes and queries regarding patient accounts.
Engage with patients and guarantors directly to resolve issues, ensuring patient satisfaction and adherence to hospital policies.
Regularly review and ensure accurate posting of payments and adjustments.
Participate in developing and revising policies and procedures to enhance the efficiency of the collections process.
Provide regular updates and feedback on account statuses, contributing to team meetings and interdepartmental communications.
Handle appeals for underpaid and denied claims by hospital policies.
Maintain high accuracy in all documentation and communications.
Education:
High schools’ diploma or equivalent
Licenses and Certifications:
Must successfully complete and maintain LA City Fire Card certification at the time of hire or within the first 30 days of employment.
Experience:
Minimum of two (2) to three (3) years of collections experience in a healthcare environment.
Proficient in Microsoft Office Suite, particularly Word and Excel.
Strong understanding of medical billing codes (CPT/ICD-10 and UB-04).
Familiarity with electronic billing systems, payer websites, and online resources for healthcare billing.
Excellent communication skills, capable of effective interaction with patients, families, and insurance companies.
Specific Responsibilities:
Account Management:
Manage assigned patient accounts from the initial billing until resolution.
Monitor high-dollar accounts regularly to ensure they meet the financial metrics set by the hospital.
Follow up on accounts bi-monthly or as required, focusing on minimizing days in receivable.
Reporting and Compliance:
Prepare detailed reports for stop loss reimbursements and ensure timely submission.
Maintain up-to-date records of payer stop loss threshold provisions.
Ensure compliance with all relevant healthcare billing regulations and hospital policies.
Dispute Resolution and Patient Interaction:
Research and resolve disputes or queries related to patient accounts.
Document all interactions and follow-ups comprehensively.
Communicate effectively with patients and guarantors to resolve account issues, ensuring patient satisfaction and clarity on financial matters.
Financial Transactions:
Review accounts to ensure that payments and adjustments are applied correctly.
Handle appeals for underpaid and denied claims following hospital protocols.
Policy and Procedure Development:
Assist in the development and revision of billing and collection policies and procedures.
Provide feedback on process improvements to enhance efficiency and accuracy in the collections process.
Communication and Collaboration:
Participate in departmental meetings to share information and discuss strategies for improving the collections process.
Collaborate with other departments, such as the managed care contracts department, to understand contract interpretation and ensure that collections activities align with contractual terms.
Training and Education:
Keep abreast of changes in billing regulations and healthcare policies that affect collections.
Participate in ongoing education and training to enhance skills and knowledge in medical billing and collections.
Documentation and Record Keeping:
Maintain individual procedure manuals for specific areas of responsibility.
Ensure accurate and timely documentation of all collection activities.
Customer Service:
Uphold the hospital’s standards for customer satisfaction and service excellence.
Always Act as a professional representative of the Business Office, maintaining confidentiality and integrity in all dealings.
Physical and Environmental Demands:
Work in a fast-paced office environment.
Handle occasional lifting of office supplies up to a specified weight.
Key Responsibilities:
Accuracy: Ensure precise payroll processing and data entry to avoid discrepancies.
Compliance: Stay current with payroll laws and regulations to ensure compliance.
Communication: Maintain clear communication with employees regarding payroll inquiries.
Confidentiality: Handle all payroll information with strict confidentiality.
Efficiency: Streamline payroll processes to enhance efficiency and accuracy.
