Job Description

Collections Representative
Location: 10920 Wilshire Blvd 16th Floor LA, CA; no remote flexibility
Duration: 16 weeks with possible extension
Hours: 7:30-4:30
REQUIRED EXP: Must have 3 yrs collections experience in a HOSPITAL doing refunds


*MUST HAVE collections experience in a HOSPITAL*



Job Description:
The Collections Representative is responsible for reviewing inpatient and outpatient claims to ensure maximum collection dollars by providing appropriate follow up and document actions taken. Major functions include managing a portfolio of assigned accounts, responding to correspondence, and heavy telephone contact to ensure timely follow-up and account resolution. The follow-up collector must have the ability to perform all needed duties in the patient account system. Skilled in usage of all Microsoft and other programs as defined by management staff.



Qualifications:
Retrieves and review documentation, refund correspondence, contacts payer to discuss (if necessary) refunds requests, corrects misapplied transactions and process refunds.
•Reviews Daily credit balance report, process Insurance refunds, retrieves EOR and validates the appropriate contract terms used, applies appropriate adjustment or transactions necessary to process refund or resolve credit.
•nthem Client credits, reviews accounts on the daily report, corrects misapplied transactions. Once overpayment is identified, uses the appropriate account status.
•Prepares and submits refund disputes letters to payers timely.
•Summarizes and documents account expected reimbursement and all payment and adjustments transactions clearly and accurately.
•Documents all activity taken to an account in the (HIS) Hospital Information System (Epic).
•Writes clear, concise and grammatically account notes in Hospital Information System (Epic).



Required Experience:

• 3 years minimum of Collections experience working in a hospital on refunds

Interview Process: one Zoom interview Compu-Vision Consulting, Inc.

Job Tags

Contract work,

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