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CCMC Sr. Collector

Responsibilities

The Senior Follow-Up Collection Representative has all of the skills of a Collection Representative (Billing and Follow-Up). He/she is responsible for reviewing assigned inpatient and outpatient claims to ensure maximum collection dollars by providing appropriate follow up and documenting actions taken. His/her major functions include managing a portfolio of assigned accounts that are typically high balance and/or aged accounts or of a more complex nature, responding to correspondence, and heavy telephone contact to ensure timely follow up and account resolution. The Senior Collections Representative should assist with training Follow-Up collection Representative and also be a resource to Collection Representatives.
Qualifications

Extensive (3+ years) collections experience within a hospital setting, with strong emphasis on managed care contracts and appeals/underpayment collection activities; must have strong analytical skills, proficient with spreadsheets. Knowledge of collection techniques and collection laws (i.e. AB1455, Knox-Keene Act, Health & Safety Codes, etc.). Must have good communication skills. Skill in reading documents in standard English. Skill in using various computer programs (i.e. Excel, Word, etc); have telephone etiquette as well as interpersonal skills including the ability to interact diplomatically, but assertively with the public either on the telephone or in person. Knowledge of medical terminology. Excellent organizational skills, proficiency in meeting deadlines, ability to work independently, with direction, and as part of a team and ability to prioritize workload. Knowledge of networks, IPA's, HMO's, PPO's and PCP's and contract affiliations. Demonstrated skill working in a team-oriented structure to achieve goals. Ability to identify, analyze and solve problems. Knowledge of CTP/HCPS codes. The Senior Follow-up Collector must have the ability to perform all needed duties in the patient accounting systems. Skilled in the usage of all Microsoft and other programs as defined by the Patient Business Services Management Staff. Productivity Standards of 35 accounts per day/175 accounts per week and Quality Standards must be met.


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