Careers
Accounts Receivable Senior Collector
Location: Chatsworth, CA 91311Status: Full-time
Salary: Commensurate with experience
Job Description:
Accounts Receivable Senior Collector
Reports to: Account Manager
General Summary: Responsible for collection of patient accounts as assigned. Responsible for managing all correspondence and EOBs. Communicate with payor regarding wrong payment, underpayment and proper processing of claims. Coordinate with the Appeals Department regarding the appeals process and ensure all claims requiring appeals are processed on a timely manner.
Principal Duties and Responsibilities:
Identifies delinquent accounts, aging period and payment sources. Processes unpaid accounts by contacting payors and follow-up until accounts are paid.
Review all incoming correspondence and EOBs receive in the office. Process responses to applicable EOBs and coordinate appeals as necessary.
Performs various collection activities including contacting lawyers and resubmitting claims to third-party reimbursers on litigated accounts.
Negotiates with insurance claims adjusters on account balances.
Follows and reports status of accounts by documenting into computer system.
Resubmits claims as necessary.
Reviews accounts with Collections Supervisor.
Negotiates settlements based on policy determined by client, Collections Supervisor and GR Medical.
Processes unpaid accounts by contacting payors.
Maintains required billing records, reports, files and follows-up/reports status of accounts in a timely manner
Request Edex and Liens to be filed, when applicable.
Participates in educational activities.
Maintains strictest confidentiality.
Other duties as assigned.
Knowledge / Skills:
Knowledge of medical billing / collection practices.
Knowledge of legal, third party operating procedures and regulatory operating procedures and practices.
Knowledge of a) workers compensation claims process and medical billing/collection practices, b) official medical fee schedule (OMFS), c) legal, third party operating procedures and regulatory operating procedures and practices.
Skills in computer programs, spreadsheets and applications.
Ability to examine documents for accuracy and completeness.
Skill in negotiating settlements, and in establishing and maintaining effective internal and external working relationships.
Education / Experience:
High school diploma or GED, Associate degree preferred.
Two (2) years medical insurance background experience preferred.
Minimum two (2) years medical collection experience.
