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Collector
- Posted: May 17, 2024
- Salary:US$18 - US$22 per hour
- Location:Loma Linda
- Job type: Permanent
- Discipline:Revenue Cycle
- Reference:227022_1715965726
- Work Location:On-site
Job description
- Analyzes and audits accounts for correct balance, proper follow-up and complete reimbursement. Processes all payor rejections/denials and follows up to resolve accounts in accordance with department standards.
- Reviews and works with outside agency/department lists, EOBs, CSM requests, to verify patient services are coded correctly and payment has been applied properly.
- Identifies misapplied payments, requesting payment adjustments/transfers or refunds.
- Reviews/corrects registration/insurance data utilizing all available sources to obtain correct information. Requests Insurance authorizations, including Service Authorizations (SARs) for CCS and Treatment authorizations (TARs) for Medi-Cal when necessary for account resolution.
- Processes all approved charge corrections timely, verifying proper adjudication for payor eligibility, following all Medicare/Medi-Cal/CCS and other payor guidelines.
- Processes correspondence for accounts and takes appropriate billing action.
- Receives and resolves phone issues/questions. Pulls appropriate documentation; takes proper action and documents through computer.
- Completes correspondence/tickler logs weekly maintaining department standards for work in progress.