COLLECTOR - BUSINESS OFFICE

Patient Accounts Representative- Collector

The Patient Accounts Representative- Collector is responsible for submittal of electronic and manual billings, account statements, and for follow-up with third-party payers and patients for outstanding balances. This position is also responsible for the preparation of daily cash receipts and maintenance of insurance logs. Prepare and submit insurance billings to primary and secondary payers. Transmit all billings to third-party payers either manually or electronically as requested. Provide assistance in contacting third-party payers at a 30-day interval after billing to ensure that bills have been received and are being processed.

Ensures the effective implantation of collection measures for uncollected accounts. Provide required follow-up on all patient accounts ensuring that all accounts are resolved within 120 days after discharge. Processes patients refunds accurately and documents refund adjustments.

Qualifications

Education: High School Graduate or Equivalent required. Experience: Experience with insurance billings. Two years insurance collections in a hospital setting required.

Knowledge/Skills: Effective telephone techniques and listening skills required. Working knowledge of insurance terms, reimbursement procedures, medical terminology and hospital services, rates and policies relating to collection activities required. Must be able to perform assignments with minimal supervision; Must be able to perform concentrated and/or complex mental activity with frequent involvement in complex and/or highly technical situations; Must be able to work successfully under highly stressful conditions; Must be able to make sound, independent judgments based on scientific and/or ethical principles; Must be able to comprehend and perform oral and written instructions and procedures; Must be able to collaborate with other multidisciplinary team members in an appropriate fashion; Must be capable of adapting to varying workloads an work assignments on a constant basis; Must have effective comprehensive reading skills, strong communication skills, written and verbal. Must possess a valid California Driver's License in order to drive hospital vehicles or on hospital business.

Minimum Requirements of the Position: Must be able to demonstrate special training, knowledge and skills specific to job specific competency within three (3) months of hire date. Must complete all required mandatory inservices annually. Must be tested for Tuberculosis with a PPD skin test or chest x-ray upon hire; PPD skin test required annually or chest x-ray tri-annually thereafter. Must adhere to facility and department policies and procedures and comply with the Corporate Compliance Program and Standards of Conduct.