ACCOUNTS RECEIVABLE COLLECTOR

COMPANY PROFILE

Precision Diagnostics, based in San Diego, California is a fast-growing clinical laboratory that specializes in providing quantitative drug testing, primarily for the purpose of helping physicians monitor their patients undergoing treatment for pain or substance abuse. Precision’s objective is to improve patient adherence/compliance with their prescription regimen and protect medical practices from liability.  

GENERAL DESCRIPTION

The Accounts Receivable Collector is responsible for a variety of billing and follow-up tasks relating to claims processing; contacts responsible parties to resolve past-due accounts; investigates account status and initiates collection.

ESSENTIAL DUTIES:

• Submits claims if needed once patient provides new Insurance information.
• Identifies problem accounts and investigates and corrects errors.
• Follows-up on missing account information in a timely manner.
• Supports continuous improvement of organization processes and personal knowledge and skills.
• Maintains and protects confidential information.
• Provides excellent customer service through cooperative working relationships.
• Meets productivity and quality standards.
• Follow up on Claims with No Activity in a timely manner
• Appeal Denials in a timely manner
• Follow up on status of appeals in a timely manner
• Work EDI Rejections timely
• Auditing payors to determine if new denial trends.
• Review of payor policies quarterly for any changes.
• Handles Outbound and Inbound calls
• Communicate to management when there are changes in payor denial trends and payor policies.
• Be respectful and professional at all times so as not to deter guarantors or patients from seeking future laboratory services with Precision.
• Utilize POWER Bl reports

SKILLS, KNOWLEDGE AND ABILITIES:

• Strong working knowledge of managed care plans, insurance carriers, government Payers and payer requirements.
• Knowledge of Medical Terminology and Medicare Compliance.
• Familiarity with HIPAA privacy requirements for patient information.
• Basic understanding of DRG's, Medical ICD9/ICD10 codes and CPT/HCPC Codes.
• Ability to multitask and stay organized.
• Good verbal and written communication skills.
• Detail oriented and ability to prioritize work.
• Requires a moderate level of interpersonal, problem solving, and analytic skills.
• Knowledgeable on insurance and reimbursement process.
• Ability to establish and maintain cooperative working relationships with other departments, providers and clients.
• Preferred two years of patient accounts experience in a healthcare setting.
• Laboratory experience preferred.