– Collector / Biller POSITION DUTIES – Analyzes and interprets Managed Care contract language, terms, conditions and responsibility matrices. Performs telephone and written follow-up with insurance companies, government payers, third party payers, worker's compensation payers, medical groups, outside hospitals, and physician's offices to ensure timely payments for inpatient and outpatient hospital bills in accordance with the terms and conditions of each insurance companies' policies.
Ensures that payers adhere to compliance laws regarding timely processing of claims. Determines if payer needs additional information, identifies barriers, or secures payment dates. Is responsible for following through with requested information as needed in order to remove payment barriers or escalates the account to facility Management or Payer Management.
Develops collection recovery strategies with each payer. Pursues each outstanding account to reach maximum reimbursement and closure. Performs other duties as needed.
MINIMUM REQUIRED QUALIFICATIONS – Recent experience in specialty LENGTH OF ASSIGNMENT – 17 weeks SHIFT / HOURS PER WEEK – 8a-5p SYSTEMS – Epic START DATE – ASAP