Collector / Biller – I

Hi,

Greetings from ObjectWin!

This is Elizabeth with ObjectWin. We have an immediate need for the following requirement. Kindly go through the following job details and If you are interested revert me back with your updated resume or call me back at (832)476-7556.

Client: City of Hope

Pay rate: $22 23.50/hr. on w2

Job Title: Collector / Biller I (3940-1)

Location: Irwindale , CA 91706

Duration: 6 Months contract

Position Summary:

• To efficiently and collectively collect reimbursement for professional services rendered.
• The Collector is in charge of monitoring and processing accounts that are both straightforward or may need further research in order to bring resolution.
• The Collector will work with minimal supervision from management to ensure the integrity of the work performed.
• The Collector works in a team environment to fulfill the mission and goals of the Division.
• Collects and recovers the payment from patients and insurance companies for delinquent hospital/medical patient accounts.
• Initiates outbound calls that potentially lead to successful payment or timely arrangement to satisfy delinquent accounts.

Essential Functions:

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Follow-up all assigned accounts from within billing and accounts receivable system in accordance with pre-established goals.

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Initiates proactive measures that result in account resolution, including written and verbal claims, follow-up actions and first and second level appeals.

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Ensures all conditions for payment receipt have been satisfied, which includes; but not limited to :

• Accurate charges
• Patient insurance eligibility
• Accurate financial class
• Patient benefit coverage
• Authorization/certification/TAR information
• Patient responsibilities
• Claims address
• CPT coding, as applicable
• ICD-9 coding, as applicable

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Responds timely and accurately to all incoming related correspondence and inquiries from payers, patients and other authorized parties. Reports any trends in incoming correspondence to managers for appropriate follow-up.

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Interacts with co-workers and other representatives to obtain required information on a timely basis.

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Initiates contact with patient s as necessary

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Initiates recommendations and actions for resolving patient accounts. Evaluates accounts to determine any adjustments or charge corrections required.

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When required, submits bills to insurance for secondary insurance.

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Ensures that all necessary documentation and information is correct according to divisional policies and procedures and complete for submission of appeal.

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Research and prioritize incoming mail, resubmit denials with proper documentation according to divisional policies and procedures.

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Respond to all phone calls from other divisions or insurance companies in an efficient and courteous manner.

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Clearly document within the patient s account, based on internal policies and procedures.

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Demonstrates teamwork and provides assistance with special projects when assigned.

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Maintains a positive image when dealing with department personnel and other City of Hope employees.

Follows established City of Hope and department policies, procedures, objectives, performance improvement, attendance, safety, environmental, and infection control guidelines, including adherence to the workplace Code of Conduct and Compliance Plan. Practices a high level of integrity and honesty in maintaining confidentiality.

Performs other related duties as assigned or requested.

Position Qualifications:

Minimum Education:

High school diploma or equivalent

Minimum Experience:

• Minimum three (3) to five (5) years experience performing medical functions.
• Minimum experience including corresponding with patients and insurance companies in resolving patient accounts.
• Extensive knowledge of insurance carrier procedures.
• Experience with reading Explanation of Benefits (EOB) statements.
• Proven ability to handle multiple conflicting tasks.
• Talks with payers, such as commercial insurance, Medicare, and Medicaid, to resolve problems and gather additional information needed to collect debt.
• Works with customers to find and arrange collection solutions.
• Ensures billing is complete and accurate.

Preferred Experience:

Skills/Abilities:

Demonstrated written and verbal communication skills

Ability to plan and carry out responsibilities with supervision

Excellent verbal and written communication skills

Excellent interpersonal skills with other departments.

Software:

Experience with on-line practice management system. Knowledge of PC based software application (e.g. Word for Windows, Excel, etc.). Type 35+ wpm required

Machines/Equipment:

Personal computer

Computer peripheral equipment

Working / Environmental Conditions:

Atmosphere and environment associated with an office setting. Smoke free environment.

Subject to regularly changing priorities or work assignments

Physical Demands:

Light physical effort

Mostly sedentary work

Occasional standing/walking

Thanks & Regards,

Elizabeth R

Recruiter

ObjectWin Technology, Inc.

Phone: (832) 476-7556 | Email: elizabeth.r@objectwin.com

Global Workforce Solutions | Contingent Staffing | SOW Services | IT Consulting | Certified HUB & MBE Company

19219 Katy Freeway, Suite 275, Houston, TX 77094 | Fax: (713) 782-8283

www.objectwin.com