Practice made perfect

Join Our Talent Network

Receivables Management Collector II in Los Angeles, CA at TeamHealth

Date Posted: 9/5/2018

Job Snapshot

Job Description

Join a team of dynamic, results oriented professionals!

Named among “The World’s Most Admired Companies" by Fortune Magazine
Named among "America's 100 Most Trustworthy Companies" by Forbes magazine
Named among “Great Places to Work" by Becker’s Hospital Review

JOB DESCRIPTION OVERVIEW:

Under direct supervision, the Receivables Management Collector II representative is responsible for the management of collection processes, including phone inquiry for claims status, filing appeals on denied claims, and completing correspondence related to denied or pended claims for all TeamHealth accounts. The Receivables Management Collector II representative is also responsible for working with payers to ensure proper reimbursement of submitted claims and to work in a cooperative team environment to provide value to customers (internal and external). The Receivables Management Collector II representative carries out his/her duties by adhering to the highest standards of ethical and moral conduct, and acts in the best interest of TeamHealth.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Performs diligent follow up, collection and appeals processes to attempt to receive payment on outstanding claims items.
  • Identifies revenue improvement opportunities, monitors accounts receivable growth and keeps it in established ranges.
  • Proper collections follow-up must be performed.
  • Ensures that all denials are researched and followed-up with the maximum collection efforts to ensure payment is received.
  • Responsible for completing tasks thoroughly and accurately to ensure the task is not returned back for re-work.
  • Responsible for completing tasks thoroughly and accurately to ensure there are little or no write offs of tasks.
  • Identify trends and issues with workloads and payers and maintains high level of quality.
  • Ensures compliance with state and federal laws and regulations for Commercial, Medicare, Medicaid, Managed Care and self-pay payers.
  • Responsible for all daily, weekly, and monthly reporting requirements.
  • Coordinates with and provides feedback to other CBO and Receivables Management team members regarding errors that effected reimbursement and facilitates solutions.
  • Maintains ongoing knowledge of HCFA 1500 and other mandatory state billing forms and filing, HIPAA, and follow up requirements and ensures compliance of CPT, HCPCS and ICD-9 coding regulations and guidelines.
  • Continually seeks to understand and act upon customer needs, concerns, and priorities. Meets customer expectations and requirements, and gains customer trust and respect.
  • Functions effectively within a team and participates and contributes constructively to produce results in a cooperative effort.
  • Demonstrates ongoing enthusiasm and commitment to the work assigned.
  • Participates in a process to continually improve organizational effectiveness using self-assessment performance evaluation criteria.

 

Job Requirements

QUALIFICATIONS / EXPERIENCE:

  • Normally, the knowledge, skills and abilities necessary for adequate job performance can be obtained through approximately five+ years’ experience with insurance denial and collections processes within a multi-facility environment.
  • In addition, working knowledge of insurance carriers’ payment regulations including various reimbursement schemes, coinsurance, deductibles and contractual adjustments is necessary as well as significant working knowledge of the insurance process, denials, appeals and insurance eligibility, and HIPAA guidelines and laws.
  • Also, demonstrated success working in a team environment focused on meeting organization goals and objectives is necessary.
  • Experience with providing visible participation and support of major change initiatives preferred.
  • Some college coursework in business administration or accounting preferred.
  • Knowledge of basic math and the ability to perform math functions in units of American currency.
  • Ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram form.
  • Ability to review documents for accuracy and reasonability.
  • Ability to determine priorities
  • Ability to coordinate schedules and information
  • Ability to work well under pressure.
  • Tact and patience when dealing with individuals at all levels, both within and outside the company.
  • Commitment to TeamHealth values
  • Ability to communicate effectively orally, in person and on the telephone, and in writing, with individuals at all levels, both within and outside the company
  • Knowledge of coordination of benefits requirements and processes.
  • Knowledge of health insurance requirements and follow up procedures.
  • Knowledge of insurance rejection/denial processing to perform follow up activity.
  • Knowledge of writing, reviewing and submitting written appeals to health plans.
  • Ability to multi-task, set priorities and follow through without direct supervision.
  • Ability to type efficiently and accurately and use the internet.
  • Ability to operate a computer (i.e., Microsoft Office) efficiently and accurately.
  • Ability to operate various office machines (i.e., fax, copier).
  • Ability to work well in a team environment and be flexible in problem solving environment.

PHYSICAL / ENVIRONMENTAL DEMANDS:

  • Have good attendance.
  • Work at a desk, utilizing a computer.
  • Communicate by telephone.
  • Operate a PC and other office equipment (copier, fax, etc.).
  • Move freely between offices.
  • Ability to lift up to 10 lbs.
  • The work environment corresponds to the average office environment.

DISCLAIMER:

Cooperative, positive, courteous and professional behavior and conduct is an essential function of every position. All employees must be able to work with others beyond giving and receiving instructions. This includes getting along with co-workers, peers and management without exhibiting behavior extremes. Job functions may require personal leadership skills such as conflict resolution, negotiating, instructing, persuading, speaking with others as well as responding appropriately to job performance feedback from the supervisor. Additionally, the information contained in this job description has been designated to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this position.

CHECK OUT OUR SIMILAR JOBS

  1. Customer Service Jobs
  2. Collections Jobs