Collector of Patient Accounts

7 days ago


Alhambra, California, United States Keck Medicine of USC Full time
Job Summary

We are seeking a highly skilled Collector of Patient Accounts to join our team at Keck Medicine of USC. As a key member of our revenue cycle team, you will be responsible for managing patient accounts from discharge through billing edits to contract management, ensuring timely and accurate reimbursement for hospital services.

Key Responsibilities
  • Manage patient accounts from discharge through billing edits to contract management, ensuring timely and accurate reimbursement for hospital services.
  • Utilize technical knowledge of billing and collections for Medicare, Medi-Cal, and local Medi-Cal entities to identify opportunities for improvement and develop effective solutions.
  • Perform all necessary functions to appropriately bill and follow up on accounts, including appeals and liquidation of accounts payable.
  • Actively contact payers by phone or mail to resolve delayed or underpaid payments.
  • Handle customer calls and payer inquiries accurately regarding charge inquiries, account status, and other related matters.
  • Process correspondence within the established timeline of 5 days from receipt.
  • Resolve credit balance accounts and underpayments in a timely manner, ensuring all accounts are paid per contracted rate.
  • Knowledge of all contract payers, rates, and agreements, ensuring accurate insurance coding is utilized.
  • Properly evaluate reimbursement amounts to ensure maximum payment is received for all services provided, appealing underpayments when necessary.
  • Place calls to health plans or check insurance contracts websites to obtain patient eligibility information, update insurance, and forward claims to medical groups as needed.
  • Have a clear understanding of the payer matrix of financial responsibility and utilize this knowledge to perform appropriate follow-up on accounts.
  • Enter accurate documentation online to record activity on patient accounts, including expected reimbursement amounts when calculated manually.
  • Use initiative to resolve problems with appropriate action and follow-through, including documentation when involved in patient/department issues.
  • Identify existing problems in the workflow and utilize resources available to maintain a productive workflow.
  • Accommodate changes in workload within the department by assisting others, keeping the supervisor informed of any problems that may interfere with work completion.
  • Adapt to changes in unusual circumstances, promote cooperation, and minimize disruption to the working environment.
  • Participate in review, revising, and developing policies and procedures for the department.
Requirements
  • Previous collection experience.
  • Working knowledge of laws governing collections efforts, insurance, and medical terminology, and reimbursement procedures.
  • Medical services collections and computerized billing systems such as IDX.
Preferred Qualifications
  • High school or equivalent.

Hourly Rate Range: $22.00 - $34.18



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