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Accounts Receivable Specialist

2 months ago

Costa Mesa, California, United States Careers Integrated Resources Inc Full time

Job Title: Collector I

Company: Careers Integrated Resources Inc

Job Duration: 3 Months +(possible extension)

Pay Range: $30 to $32/h on w2

Job Overview:

The Collector I acts as the primary liaison for the organization in engaging with insurance providers, governmental payers, and patients to facilitate the resolution of outstanding payments and account issues.

Key Responsibilities:

  • Manage assigned accounts within designated work queues efficiently.
  • Maximize reimbursement by assessing claims against contract rates using contract management tools.
  • Initiate appeals for underpayments while adhering to timely filing requirements.
  • Handle payor and patient correspondence promptly and accurately.
  • Identify and escalate accounts requiring appeals due to billing or coding discrepancies.
  • Report new or unclear billing edits to the supervisor for further action.
  • Possess a comprehensive understanding of Revenue Cycle processes, from Patient Access through Patient Financial Services.
  • Demonstrate thorough knowledge of managed care agreements, current payer rates, and applicable federal and state regulations.
  • Interpret Explanation of Benefits (EOBs) and Electronic Remittance Advices (ERAs) to ensure correct payments.
  • Understand hospital billing form requirements and be familiar with HCFA 1500 forms.
  • Knowledge of various payor types including HMO, PPO, Medicare, and commercial payors.
  • Utilize patient accounting systems effectively to document all interactions and actions taken.
  • Accurately code insurance plan codes and establish payment arrangements for patients unable to pay in full.
  • Review accounts for applicable cash rates and discounts.
  • Handle bankruptcy and deceased patient accounts as necessary.
  • Perform additional duties as assigned.

The Collector I position requires consistent achievement of individual productivity and quality assurance metrics. In addition, the role may involve:

  • Assisting in various areas, payors, or departments as needed.
  • Contributing to special projects and additional tasks.
  • Problem-solving issues and conducting independent research for resolutions.
  • Providing support and training to peers as required.
  • Exceeding productivity and quality standards over an extended period.