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Waukegan

    Collector - Waukegan, United States - AHS Vista LLC

    AHS Vista LLC
    AHS Vista LLC Waukegan, United States

    2 weeks ago

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    Description

    Under the supervision of the Director of Revenue Cycle, or designee, performs patient account insurance follow-up, credit balance review and resolution, keeping the hospital's accounts receivable as accurate as possible.

    Responsibilities:

    • Review claims on-line as offered by individual payors to ensure timely processing.
    • Contact insurance carriers by phone regarding outstanding balances, as needed.
    • Resubmit claims to insurance carriers, as needed.
    • File appeals on technical denials and/or claim disputes, as needed.
    • Validate accounts for accurate payments, discounts, and contractual adjustments, correcting them, as needed.
    • Reply to insurance carrier correspondence in a timely matter.
    • Answer in-coming calls resolving insurance issues in a timely matter.
    • Credit Balance Process and Review, as assigned.
    • Review all credit balance accounts for incorrect contractual adjustments, correcting them as needed.
    • Respond in writing to insurance companies' refund requests in a timely matter to avoid inappropriate recoupments.

    Qualifications:

    • High school diploma or equivalent.
    • One to two years' experience in healthcare receivables.
    • Must have a strong credit and collection background.
    • Working knowledge of HMO, PPO, Commercial, and Workers' Compensation reimbursement.
    • Working knowledge of Managed Care contract language and interpretation.
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