The Collector is responsible for tracking accounts and resolving insurance and patient receivables.
Responsibilities
Work with insurance groups and contact insurance companies to resolve claims that are not paid in a timely manner.
Review EOBs, remittances, and payer correspondence in the course of tracking accounts and escalate any identified issues to the appropriate area for review and response to expedite resolution of claims.
Identify problem accounts and escalate as appropriate.
Maintain compliance with group completion requirements.
Maintain the required productivity and quality standards.
Document in the patient's account record to identify actions taken on the account.
Work with patients and guarantors to resolve payer requests and discrepancies and quickly resolve outstanding claims.
Practice and adhere to the philosophy of the "Code of Conduct" and the "Mission and Values Statement", as well as all policies and procedures related to the Collections department.
Other assigned tasks.
Skills and Experience
English – Spanish (oral and written 85% or higher), (B2+ or higher).
Completed high school diploma.
At least 6 months of experience in data entry or customer service positions.
The resource will adjust its local time with the resources that support this position during daylight saving time changes in the Eastern time zone.
A genuine interest in working with and helping clients.
Demonstrated experience in providing high levels of customer satisfaction and performance in a high transaction volume, high demand environment, preferred.
Good presentation and a polite, tactical and friendly character.
A minimum of one year of related experience, preferably in healthcare, is required. Relevant education may substitute the experience requirement.
