Job Summary: The Collector performs A/R collections and billing via assigned special projects, involving multiple insurance contracts & entities.  Verifies that patient services are coded correctly and payment has been applied properly.  Analyzes and audits accounts for correct balance, proper follow-up and complete reimbursement.  Monitors collection issues and resolves with payor.  Processes phone-online and paper inquiries and correspondence taking appropriate collection actions that may include:  working rejections/denials, calling for status, tracer claims and rebilling.  Identifies misapplied payments and requests payments, adjustments/transfers or refunds.  Performs other duties as needed.

Education and Experience: High School Diploma or GED required.  College level courses in Business and/or  Accounting preferred.  Minimum three years previous experience in Commercial/Contract or Managed Medi-Cal billing, auditing and collecting preferred. Epic experience preferred.

Knowledge and Skills: Knowledge of Government/CPT and ICD coding, medical terminology and the ability to read and interpret EOBs required. Able to use a computer, printer, and software programs necessary to the position (e.g., Word, Excel, Outlook, PowerPoint). Operate/troubleshoot basic office equipment required for the position. Able to work calmly and respond courteously when under pressure; collaborate and accept direction. Able to think critically; manage multiple assignments effectively; organize and prioritize workload; work well under pressure; problem solve; recall information with accuracy; pay close attention to detail; work independently with minimal supervision. Able to distinguish colors as necessary; hear sufficiently for general conversation in person and on the telephone, and identify and distinguish various sounds associated with the workplace; see adequately to read computer screens, and written documents necessary to the position.

Licensures and Certifications: None