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Collector - FT · Mesa, AZ
Interacts with patients, hospital personnel and insurance carriers to obtain resolution on accounts.
Monitors insurance claims by contacting insurance companies to resolve claims that are not paid.
Identifies coding and billing errors from EOB and works to correct the errors in a timely manner.
Works an average of 60 accounts per day.
Reviews all information to ensure account accuracy proration of monies, demographic information, financial classification, etc.
Completes request from management, staff and insurance carriers within two business days.
Identifies and performs collection calls to rectify account and informs management of all short pay and billing trends that are discovered.
Prioritizes workload to allow all accounts, 30 days to be worked regardless of the dollar amount.
Displays persistence with HMO and PPO insurance carrier to ensure claim is paid within state regulated guidelines. Utilizes the appropriate dispute resolution processes (DOL,DOI and IASIS Dispute resolution) in order to resolve problem accounts when necessary.
Ensures account is adjudicated through PCON whenever necessary.
Performs review of all outstanding accounts for each patient on a daily...
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