Senior Collections Representative Lead

Job Description

Sr. Collections Representative Lead Representative (Lead) . The Lead is assigned job functions that parallel that of a *Biller/Collector. The Lead has advanced knowledge of Government payer billing and collections and serves as a resource person to other staff members and management. The Lead is responsible for assisting with training, monitoring backlogs and are assigned special projects. The Lead is responsible for both billing and collections, gathering and securing all information needed for billing, follow up, and payment of accounts in accordance with the specific payer guidelines, policies, procedures, and compliance regulations. *A Biller/Collector is responsible for the following:
Reviewing, correcting, and completing billings to ensure complete and accurate billing of Medicare, Medi-Cal and/or Managed Medicare/Medi-Cal payers; calculates expected reimbursement to verify expected payments versus actual payments received; files disputes with payers for denials and/or underpayments; and is accountable and responsible for accurate billing and reconciles accounts to closure. The Lead utilize multiple databases and applications to analyze and take appropriate action on information or documents received. Applications and Databases consist of EPIC, Hospital Rates, CIRIUS, RevCyclePro, Imaging, DDE and various payer websites. Frequent contact with Patient Financial Services staff, departments and management, as well as patients, billing and professional fee and collection services vendors.