Collector

Children's Healthcare of Atlanta

For Technical help, please refer to the Frequently Asked Questions page.

A Collector is responsible for timely and accurate insurance billing and collections, resulting in the appropriate final disposition of each account and/or charge. He/She works with third-party payors to ensure reimbursement for professional services rendered.

ESSENTIAL JOB DUTIES AND RESPONSIBILITIES:

Performs daily billing of claims to third party insurance following the guidelines of the UB-40 and HCFA 1500 manual.
Ensures that special billing needs by carrier are performed to prevent denial of claims and delay in payment.
Prepares and submits all final bill claims, secondary claims, rebills and late charges on a daily basis maintaining a current status.
Performs routine follow-up on unpaid insurance claims. Take appropriate action to resolve problems causing delay in reimbursement.
Thoroughly documents (via "on line") activity codes, all telephone and correspondent communications with third- party payers and guarantors.
Prioritizes and works on accounts in assigned work queue to ensure all accounts are submitted timely.
Contacts guarantors and other insured parties when additional information is needed for the insured. Takes appropriate action to resolve any delay in reimbursement.
Works correspondence daily to add Medicaid eligibility to self-pay and commercial accounts.
Works returned mail on high dollar accounts and correspondences from third party payers.

MINIMUM QUALIFICATIONS:

High school diploma; some college is desirable.
One to two years insurance billing and or collections experience with a general knowledge of hospital business office functions.
One to three years experience in billing and collections, preferably in a hospital and/or physician billing services organization.
Knowledge of third-party requirements and policies, to include but not limited to Traditional Medicaid, CMO, Blue Cross Blue Shield, HMOs, PPOs, and commercial carriers.
Must have excellent telephone communication/customer service skills.
Excellent written and verbal communications skills.
Familiar with medical terminology and preferable knowledge in ICD-9 and CPT4 coding.
Must be able to meet department/individual goals.
Must be able to type 45 words per minute.
Must be able to operate PC based computer systems, to include working knowledge of word processing, spreadsheet, and billing software.

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