Only the job description changed.
| Previous Job Description | Current Job Description | ||||
|---|---|---|---|---|---|
| n | 1 | Job Description: | n | 1 | Follow Up Collection Representative is responsible for collections and resolution of all inpatient a |
| > | nd outpatient accounts with commercial insurance balances across various work queues. Follow up Repr | ||||
| > | esentatives conduct proactive follow up with payors regarding nonpayment, underpayments or incorrect | ||||
| > | payments in a stratified manner, calculates expected reimbursement and recommends legal assignment | ||||
| > | when needed. Follow up Collection Representatives reconcile the accounts to closure and work inpatie | ||||
| > | nt and outpatient accounts. | ||||
| 2 | Follow Up Collection Representative is responsible for collections and resolution of all inpatient a | ||||
| > | nd outpatient accounts with commercial insurance balances across various work queues. Follow up Rep | ||||
| > | resentatives conduct proactive follow up with payors regarding nonpayment, underpayments or incorrec | ||||
| > | t payments in a stratified manner, calculates expected reimbursement and recommends legal assignment | ||||
| > | when needed. Follow up Collection Representatives reconcile the accounts to closure and work inpati | ||||
| > | ent and outpatient accounts. Follow Up Collections Representatives utilize multiple databases and ap | ||||
| > | plications to analyze and take appropriate action on information or documents received. Application | ||||
| > | s and Databases consist of: Epic System, Cirius Billing System, Revenue Cycle Pro and Multiple Payo | ||||
| > | r Websites. There is frequent contact with insurance company representatives, hospital and clinical | ||||
| > | departments. | ||||
| 3 | 2 | ||||
| t | 4 | Qualifications: | t | 3 | Follow Up Collections Representatives utilize multiple databases and applications to analyze and ta |
| > | ke appropriate action on information or documents received. Applications and Databases consist of: E | ||||
| > | pic System, Cirius Billing System, Revenue Cycle Pro and Multiple Payor Websites. There is frequent | ||||
| > | contact with insurance company representatives, hospital and clinical departments. | ||||
| 5 | Requirements: -HS Diploma or GED -Two or more years of experience working in hospital billing office | ||||
| > | environment. -Excellent of hospital billing and collections, including skillset for billing and col | ||||
| > | lections of packaged claims, stop losses, per diems, carve outs and other contract terms and conditi | ||||
| > | ons and CPT, ICD, DRG, and HCPC codes.. -Understanding of Professional Fees. -Strong analytical and | ||||
| > | organizational skills, interpersonal, verbal, and written communication skills. -Excellent of comput | ||||
| > | er operation to include MS Office, keyboard functions, calculator, copier and fax machine operation. | ||||
| > | -Proactive and assertive account resolution skills. -Must be a motivated individual with a positive | ||||
| > | and exceptional work ethic. -Ability to follow directions and written procedures. High attention to | ||||
| > | detail is essential. -Ability to balance assertiveness with compassion for the patient and others. | ||||
| > | -Must be able to work onsite in our Emeryville office with the possibility of working remote from ti | ||||
| > | me to time. Preferences: -Medical terminology experience. -ICD, CPT4, HCPCS, DRG coding experience. | ||||
| > | -Understanding of HIPAA rules and regulations. | ||||