Job Description

The Patient Accounts collector is responsible for billing and collecting outstanding insurance balances in a timely manner.

Essential Duties: 

  • Bill and/or rebill insurance claims within payer timely filing limits
  • Review all accounts within assigned inventory and attempt to collect outstanding insurance balances
  • Check payer websites and/or call payers for updated claim statuses and processing
  • Resolve payer denials by submitting corrected claims or appeals
  • Escalate payer issues to Patient Accounts Manager and join payer meetings
  • Coordinate with billers/collectors, Self Pay collections team, coding, registration, cash posting, and other hospital staff
  • Answer incoming phone calls
  • Follow collection policies and procedures

Other Duties:

  • Maintain notes in patient accounts for all actions taken
  • Works as a team member within the business office
  • Attends in-service training and education sessions, as assigned
  • Performs specific work duties and responsibilities assigned by supervisor

Qualifications: 

  • High school diploma or equivalent required
  • 2 or more years of insurance claims processing in a healthcare setting
  • 2 or more years of healthcare collection experience required
  • Knowledge of Medicare, AHCCCS and Commercial Insurances
  • Computer literate with Windows Basics, experience with EHR and Electronic billing practices
  • Professional Appearance and Conduct

Preferred Qualifications

  • ICD 10, CPT Coding, and Medical Terminology

Physical Working Conditions:

  • Must be able to sit for long periods
  • Must be able to operate standard office equipment
  • Must be able to lift and carry up to 20 lbs
  • Must be able to work paying close attention to detail with frequent interruptions
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