Account Collector

2 weeks ago


Grants, New Mexico, United States Cibola General Hospital Full time
Job Summary

We are seeking a highly skilled Account Collector to join our team at Cibola General Hospital. As a key member of our Patient Financial Services department, you will be responsible for collecting and processing patient accounts, ensuring timely and accurate payment of medical bills.

Key Responsibilities
  • Maintain and audit accounts receivable/credits over 45 days old monthly, documenting notes for productivity.
  • Work on 30 accounts per day or an average of 150 per week, ensuring timely and accurate processing.
  • Communicate effectively with billing staff for improvements in billing primary and secondary claims.
  • Review insurance EOBs for potential processing errors and respond to denials and requests/correspondence within a two-day timeframe.
  • Ensure accurate designation of balances between insurance and patients, and assist patients with inquiries over the phone or in person.
  • Respond to audits and regulatory inquiries, and research credit balances for assigned insurances.
  • Educate other staff on assigned payers and serve as the representative for specific payers for the organization.
Requirements
  • High school degree or GED; One to three years data entry and billing and claims experience in a healthcare setting or billing externship.
  • Experience in a multispecialty clinic setting, with knowledge of computerized practice management systems, preferably Cerner Electronic Health Record System.
  • Ability to learn billing and collection system within rural health facilities and critical access hospitals, and to communicate with tact and diplomacy with diverse groups of people.
  • Knowledge of HIPAA as it relates to medical & behavioral health billing, and ability to work on a variety of assignments concurrently within established deadlines.
Preferred Qualifications
  • Billing Certificate, the result of graduation from a certified billing school; Coder and/or Billing Certificate may be substituted with demonstrated proficient knowledge of healthcare billing processes.
  • Bilingual (English / Spanish) preferred, with knowledge of Federally Qualified Health Care billing and reimbursement, and Medicare and Medicaid guidelines.

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