Job Description
Job Description
- Hospital Collector The Hospital Collector is responsible to provide timely verification of Medicare and insurance benefits on all referrals of potential patients and reviews reports to ensure accurate billing.
- Works with staff to ensure accurate admission information is captured
- Basic understanding of medical terminology
- Understand insurance denials.
- Monitor and trend denials, appeals and resolutions from insurance carriers
- Completes timely verification of Medicare and insurance benefits on referrals identified as potential patients
- Coordinates pre-certifications and insurance verification for all patients
- Bills appropriate payer in accordance with the requirements of the payer being billed
- Conducts timely follow-up on all accounts
- Manages detail authorization information from insurance companies
- Works with CMS system (DDE) to identify the prompt flow of accounts through editing, suspense and RTP status
- Proficient in utilizing a claims management system
- Corrects accounts on-line for faster processing
- Manages cash collections
- Maintains unbilled days at the established corporate goal
- Maintains bad debt at the established corporate goal
- Ensures Credit Balance Report is worked daily and quarterly: refunds patients and reverse contractuals as needed
- Insures that all charges from the acute facility are correctly and timely entered on the patient’s account
- Compiles and provides accurate reports of monthly, quarterly and annual AR statistics
- Keeps abreast of developments in Medicare, Medicaid, and insurance admission and billing requirements Experience Minimum 2 years hospital billing and collection experience to include Commercial, Managed Care, Medicare and Medicaid across all states
Job Type: Full-time
- Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Flexible spending account
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Referral program
- Vision insurance
- Education:
- High school or equivalent (Preferred)
- Experience:
- Microsoft Excel: 2 years (Preferred)
Work Location: Remote
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