Managed Care/Commercial Collector
Company: Hirebridge Organic
Location: Oak Park
Posted on: May 12, 2022
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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
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