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Collections Analyst

3 months ago

Santa Monica, California, United States Compu-Vision Consulting Full time
Collections Representative

Location: 10920 Wilshire Blvd 16th Floor LA, CA; no remote flexibility

Duration: 16 weeks with possible extension

Hours: 7:30-4:30

REQUIRED EXP:
Must have 3 yrs collections experience in a HOSPITAL doing refunds

*MUST HAVE collections experience in a HOSPITAL
  • Job Description:


The Collections Representative is responsible for reviewing inpatient and outpatient claims to ensure maximum collection dollars by providing appropriate follow up and document actions taken.

Major functions include managing a portfolio of assigned accounts, responding to correspondence, and heavy telephone contact to ensure timely follow-up and account resolution.

The follow-up collector must have the ability to perform all needed duties in the patient account system. Skilled in usage of all Microsoft and other programs as defined by management staff.

Qualifications:


Retrieves and review documentation, refund correspondence, contacts payer to discuss (if necessary) refunds requests, corrects misapplied transactions and process refunds.


  • Reviews Daily credit balance report, process Insurance refunds, retrieves EOR and validates the appropriate contract terms used, applies appropriate adjustment or transactions necessary to process refund or resolve credit.
  • Anthem Client credits, reviews accounts on the daily report, corrects misapplied transactions. Once overpayment is identified, uses the appropriate account status.
  • Prepares and submits refund disputes letters to payers timely.
  • Summarizes and documents account expected reimbursement and all payment and adjustments transactions clearly and accurately.
  • Documents all activity taken to an account in the (HIS) Hospital Information System (Epic).
  • Writes clear, concise and grammatically account notes in Hospital Information System (Epic).
Required Experience:

3 years minimum of Collections experience working in a hospital on refunds

Interview Process:
one Zoom interview
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