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HUMAN RESOURCES JOB DESCRIPTIONS / Patient Accounting.PreAdmissions

SUBJECT: Collector HRJD.054

JOB DESCRIPTION

COLLECTOR

Department: / Business Office
Reports to: / Business Office Manager

JOB DUTIES & RESPONSIBILITIES

Job Summary:

Under the supervision of the Business Office Manager/Collection Supervisor the Collector is responsible for the follow-up performed on all outstanding accounts which include but are not limited too high dollar hospital claims, ancillary services, and imaging claims to ensure payment with out delay. They communicate clearly and efficiently by phone, in person, in writing with our clients, insurance carriers, patients and team members. Creates and files appeals. Maintains productivity standards and reports. Operates computer to input follow-up notes and retrieve collection and patient information. Ensures monthly and quarterly goals are met, both as a team and individually.

JOB SPECIFICATIONS

Education:

High School Diploma or equivalent. Some college preferred

Experience and Skills:

1.  2-3 years experience in collections, hospital collections preferred

2.  Knowledge of Accounts Receivable, Medicare, Medi-Cal, HMO/PPO, Commercial and W/C collections with some billing knowledge

3.  Computer literate in Microsoft Office

4.  Working knowledge of ICD-9, CPT, HCPCS and DRG coding as it relates to reimbursement

5.  Knowledge of collection procedures, industry standards and regulations.

6.  Knowledge of insurance contracts, deductibles, co insurance, and authorizations.

7.  Knowledge of 10-Key

Job Duties:

1.  Run aging reports each month for all designated accounts that are over 30 days.

2.  Follow up each month on all designated accounts and make sure they are current and working towards resolution

3.  Current and detailed documentation is required on all delinquent accounts

4.  Work daily tickler report

5.  Monthly meetings with Collection Supervisor to review all designated accounts that are over 60 days old

6.  Review and work all incoming correspondence

7.  Take calls from patients and insurance companies

8.  Review payments and send out appeals if necessary

9.  Maintain knowledge of insurance contracts

10. Cover job responsibilities for co workers when they are out of office

11. Performs other job duties as assigned

Employee Signature / Date

D. Martin 4-03

Approved by: Human Resources ~ CEO. 2/10/05