Managed Care/Commercial Collector

Company: Hirebridge Organic
Location: Oak Park
Posted on: May 12, 2022

Job Description:

Job Description Job Title: MANAGED CARE/COMMERCIAL COLLECTORJob Summary: Responsible for collecting on assigned accounts in a professional and timely manner. Works with Insurance companies and other payors to resolve accounts efficiently. Must be able to multi-task and have knowledge of contract language. Reports To: Managed Care/Commercial Manager, and or Revenue Cycle Director/ManageraEssential Job Duties: · Demonstrates competency in the quality of work and knowledge of the job pertinent to the functioning of the position of Collector.· Follows up on all accounts after billing until payment is received.· Reviews and follows up on aged accounts with documentation in an efficient and thorough manner with accuracy.· Ensures appropriate phone calls/or website status towards resolution on each account.· Ensures re-bills to payors as needed and change update to correct plan IDs.· Prepares appeals on denials and underpayments.· Mails follow-up letters to patients/ insurance companies as needed.· Consistently exercises sound judgment in arranging account settlement plans. · Prepares accounts settlement options in a clear and persuasive manner.· Works accounts on work ques/reports provided, averaging a minimum of 45-55 per day. · Handles all clients in a courteous and professional manner.· Ensures contractuals/discounts are applied to accounts as specified in each contract.· Refers an account to a biller and forwards a copy of the primary carrier's EOB if a secondary insurance is applicable.· Follows up on all correspondence requiring action as needed.· Retrieves Patient records from the HBF system as needed.· Demonstrates the ability to recognize and deal with priorities in order to complete work in a timely manner.· Performs all other duties and projects as assigned.Behavioral Standards: · Exhibits customer and service oriented behaviors in every day work interactions.· Demonstrates a courteous and respectful attitude to internal workforce and external customers. · Communicates accurately and appropriately.· Works well and efficiently under minimal supervision.· Handles difficult situations in a discreet and professional manner.· Is adaptable to changes in assignments and priorities.Communication/Knowledge: · Provides accurate and timely written and verbal communication of information in a manner that is understood by all. · Able to listen, understand, problem-solve, and carry-out duties to ensure the optimal outcome. · Able to use IT systems in an accurate and proficient manner.Collaboration/Teamwork:· Contributes toward effective, positive working relationships with internal and external colleagues.· Demonstrates cooperation, flexibility, reliability, and dependability in all daily work activities and a willingness to collaborate with others for the good of the customer and the organization. Education/Experience:· High school graduate or equivalent required· Prefer at least 2 to 3 years of current experience in an acute care hospital setting · Knowledge of contracts· Computer skills preferredLicensure/Certifications:· N/AADA/Physical Demands:· To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Such accommodations must be requested by the employee/applicant in order to be considered.· Required to stand; walk; sit; use hands to fingers, handle, or feel; reach with hands and arms; stoop, kneel, crouch, or crawl; talk and hear; and may taste and smell. The employee is regularly required to lift, push and/or pull weights in excess of 10 pounds, with assistance. Visual abilities, auditory abilities, must be intact to perform duties.

Keywords: Hirebridge Organic, Oak Park , Managed Care/Commercial Collector, Other , Oak Park, Illinois