Job Details

Medix is now hiring Hospital Collectors near the Van Nuys area!

Shift: Mon-Fri (8:30am-5:00pm)

What You'll Do: Under supervision, the Hospital Collector is responsible to manage assigned accounts from the point of billing until the account is paid or referred to an outside agency. Must interact effectively with internal and external customers. Must be able to comprehend and follow policies and procedures. Must present a professional image of the Business Office at all times.

• Consistently maintains the targeted level of days receivable for assigned accounts.
• Monitors HD (high dollar) accounts assigned; inventory usually over 10k.
• Required follow-up bi-monthly due to financial impact.
• Able to prepare cumulative payer report for stop loss reimbursement immediately at time of FB (final bill)
• Must be able to monitor high dollars on all levels according to guidelines provided.
• Maintains payer stop loss threshold provision listing and provide update to PFS team.
• Research accounts to resolve disputes or questions, documents and follows-up on assigned accounts in a timely and complete manner.
• Interact effectively with patients and guarantors. Responds timely to patient inquiries; resolves account problems satisfactorily.
• Accurately maintains individual procedure manual for specific area of responsibility.
• Reviews accounts to ensure payments and adjustments are posted correctly.
• Maintains timely review and status on non-government A/R projects.
• Prepare payer projects providing claim detail summary.
• Escalate issue trends to management for additional follow up.
• Assists with managed care contract feedback regarding contract interpretation concerns.
• Assists with weekly, monthly payer conference call discussions regarding real-time trends/issues.
• Reviews and validates final payer project summary statistics reconciling accounts to ensure data is clean for presentation.
• Provides weekly minutes of collector networking meetings.
• Demonstrates knowledge of DRG/Per Diem/Contract reimbursement.
• Knowledge of authorization and reimbursement regulations.
• Understands the difference between ROI and denial.
• Appeal underpaid and denied account according to policy.
• Explain financial and hospital policies and procedures to patients' satisfaction and understanding.
• Demonstrates knowledge and the ability to utilize CPT/ICD-10 and UB-04 reference material.

EXPERIENCE/QUALIFICATIONS:

• 3-4 years of demonstrated hospital collections experience.
• Displays good communication skills, both verbal and written when dealing with all customers.
• Experience in Microsoft Word and Excel.
• Demonstrates knowledge and the ability to utilize CPT/ICD-10 and UB-04 reference material.
• Knowledge of CWF, POS device, Internet, payer web-sites and Electronic billing systems.

BENEFITS:

• Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances)
• Health Benefits / Dental / Vision (Medix Offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s).)
• 401k (eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1)
• Short Term Disability Insurance
• Term Life Insurance Plan

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA).

This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.