Employment Status:Full Time (72-80 Hours Per Pay Period)Job Category:Administrative & ProfessionalJOB SUMMARY:Under supervision, the Collector II 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.EXPERIENCE/QUALIFICATIONS:Two (2) – three (3) years of collection experience in a health care setting is requiredDisplays good communication skills, both verbal and written when dealing with all customers.Experience in Microsoft Word and ExcelDemonstrates 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.EDUCATION:High schools diploma or equivalentLICENSURES/CERTIFICATION:Must successfully complete and maintain LA City Fire Card certification at the time of hire or within the first 30 days of employmentDUTIES AND RESPONSIBILITIES ( These are the essential job functions for this position.
The essential functions of this job include, but may not be limited to those listed in this job description.
Employees hired for this position must be able to perform the essential function of this job without imposing significant risk of substantial harm to the health or safety of themselves or others) :Consistently maintains the targeted level of days in receivable for assigned accounts.Monitors HD (high dollar) accounts assigned; inventory usually over 10kRequired follow-up bi-monthly due to financial impactAble 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 providedMaintains payer stop loss threshold provision listing and provides update to PFS teamResearches accounts to resolve disputes or questions, documents and follows-up on assigned accounts in a timely and complete manner.Interacts 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.Prepares payer projects providing claim detail summary.Escalates 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 insure data is clean for presentation.Provides weekly minutes of collector networking meetingsDemonstrates knowledge of DRG/Per Diem/Contract reimbursement.Knowledge of the authorization and reimbursement regulations.Understands the difference of ROI and denialAppeal underpaid and denied account according to policyExplains financial and hospital policies and procedures to patients satisfaction and understanding.Maintains high degree of accuracy in all areas of responsibility.Demonstrates knowledge and the ability to utilize CPT/ICD-10 and UB-04 reference material.Displays good communication skills, both verbal and written when dealing with all customers.Performs other duties as assigned.The following job accountabilities are not unique to this particular job but are common to all jobs at VPH:Complies with VPH policies and procedures on customer satisfaction and service excellence.
Demonstrates professionalism and cultural sensitivity in coordinating activities and communicating with all customers, peers, and the community at large.
Conducts self in a professional, respectful and courteous manner during all interactions.
Works effectively and collaboratively with others toward common goals.Communicates accurately, honestly, supportively and in a timely manner with department and interdepartmental team members.
Demonstrates effective business writing and oral communication skills, handwriting is clear and legible.Participates in operational aspects of the department, and maintains/participates in performance improvement activities within the department.Participates in all departmental specific training, Environment of Care (injury/illness prevention, fire/life safety, hazardous materials, emergency preparedness, utilities management, medical equipment management, safety and security management), infection control (standard precautions, TB Exposure Control Plan, Bloodborne Pathogen Exposure Control Plan).Demonstrates knowledge of and follows safety practices.
Understands the importance of safety, including patient safety in the work place.
Maintains a safe environment for self and others.Actively participates in the Patient Safety Program, including event reporting.
Identifies sentinel events/near misses and responds per defined organization processes.
Participates in education activities and process implementation.
Demonstrates advocacy for the patient/customer and appropriately acknowledges patients, customers and visitors.The above statements reflect the essential functions considered necessary to describe the principle content of the job.
They are not intended to be a complete statement of all work requirements or duties that may be inherent in the job.WORK ENVIRONMENT:
· Primarily an inside building/office environment, well lighted and ventilated, which may consist of multiple treatment and/or work sites.
· Fast and continuous work pace with variable workload.
· Frequent contact with staff and public under a variety of circumstances.
Requires ability to communicate clearly (in English) verbally and in writing for effective communication with other staff members, physicians, vendors, community members, patients and patient families, employees and applicants of all socio-economic levels from a diverse cultural and ethnic population.
· Subject to many interruptions from multiple calls and inquiries and potentially emotional situations involving accidents, injuries, illness and/or death.
· Handles emergency/crisis situations in accordance with Hospital policy.
· Answers phones or pages; may carry a beeper/pager, and/or use a two-way radio.
· Occasional travel may be required.
· Potential risk of exposure to hazards from chemicals (toxic and non-toxic), flammable materials, gas or electrical or radiant energy or equipment with/without moving parts.PHYSICAL DEMANDS:Key for Physical DemandsContinuous66 to 100% of the timeFrequent33 to 65% of the timeOccasional0 to 32% of the time Patient Care* Continuous standing/walking and occasional/intermittent sitting.* Continuous use of bilateral upper extremities in fine motor activities requiring fingering, grasping, and forward reaching between waist and shoulder level to handle/operate medical equipment/devices.* Frequent reaching above shoulder level and overhead.* Frequent forward bending, twisting, squatting and kneeling; occasional climbing.* Occasional repositioning and transferring patients weighing up to 200 pounds between bed, chair, and gurney.* Occasional lifting and carrying equipment weighing up to 25 pounds.* Occasional/intermittent pushing of gurneys, wheelchairs, bed and other medical equipment over tiled and carpeted surfaces.* Continuous use of near vision to read medical equipment such as monitoring devices and reading documents and computer screens; hearing and verbal communication to interact with patients, co-workers, and other customers.