Healthcare Reimbursement Collector

POSITION PURPOSE
The Reimbursement Collector is responsible for performing all billing follow-up functions for Commercial/Government and third-party payers. The Reimbursement Collector also provides Collections efforts for all buckets of Accounts Receivable (AR), excluding Self-Pay. The primary goal for this position is to ensure that all Collections functions are performed timely, accurately and in adherence to Curahealth policies and Insurance contracts.

POSITION REQUIREMENTS

Required Licenses or Certifications

None

Education, Training and Experience

Minimum 2 years of medical experience in collections, denials and appeals processes with all payers.

Reviews and responds to all payer correspondence pertaining to any denials, short pays and or providing additional information to obtain full reimbursement.

Ability to escalate and promptly resolve claim rejections and/or other billing issues according applicable state and federal regulations

Run aging reports for collection call identification and complete collection calls and follow up note entry

Ability to maintain established goal(s), and notifying Supervisors, of issues preventing achievement of such goal(s)

Complete miscellaneous clerical duties

Proficiency with Microsoft Windows, Outlook, Word, Excel, and custom billing software

Team-oriented, with an ability to learn quickly, communicate clearly, and be dependable

Skills and Abilities

Strong organizational skills, and the ability to work under pressure. Ability to handle and prioritize multiple tasks and meet all deadlines
Strong knowledge of EOBs (Payer Explanation of Benefits)
Excellent problem solving/judgment skills, and high level of attention to detail and accuracy
Knowledge of claim and benefit requirements for Medicare, Medicaid, HMO, PPO and/or other third party payor Machines, Equipment Used
Basic office equipment: Copier, fax machine, calculator, computer, printer

Physical Requirements
Ability to lift up to 30 pounds

Ability to sit or stand for long periods of time

Ability to reach, push, pull, stoop, kneel, crouch and/or crawl, grasp, use fine finger movement

Environmental Conditions
Indoor, climate-controlled environment

As a representative of Curahealth, all comments, attitudes, actions, and behaviors have a direct affect on the hospital’s image and perceptions of quality care and service. Interaction with patients, visitors, volunteers, co-workers, supervisors, physicians, contract staff, vendors, and affiliate schools is in a manner that is friendly, supportive, courteous, respectful, cooperative, and professional. This behavior supports an atmosphere of teamwork that is congruent with hospital standards and guidelines to promote positive relations. The Medical Biller exhibits and promotes the hospital’s Standards of Behavior throughout the hospital community.