Job Summary: The Collector 1 performs telephone calls and website checks for claim status from insurance companies, government payers, third party payers, worker's compensation payers, medical groups, outside hospitals, and physician's offices to ensure timely payments for inpatient and outpatient hospital bills in accordance with the terms and conditions of each contract and/or insurance company policies. Determines if payer needs additional information, identifies barriers, and secures payment dates. Is responsible for following through with requested information as needed in order to remove payment barriers or escalates the account to LLUH Management or Payer Management. Develops collection recovery strategies with each payer. Performs other duties as needed.
Education and Experience: Minimum one year of experience in healthcare billing, auditing, managed care or collections required; preferably in hospital billing.
Knowledge and Skills: Basic knowledge of automated billing, follow-up and adjudication systems required (LLEAP/Epic, Assurance, DDE, FISS, Medi-Cal website, and Noridian Medicare Portal). Basic knowledge of UB04, CPT, HCPC, ICD10, and EOB required. Able to 10-Key. Able to read, write legibly; speak in English with professional quality; use computer, printer, and software programs necessary to the position (e.g., Word, Excel, Outlook, PowerPoint). Operates and troubleshoots basic office equipment required for the position. Able to relate and communicate positively, effectively, and professionally with others; work calmly and respond courteously when under pressure; collaborate and accept direction. Able to communicate effectively in English in person, in writing, and on the telephone; think critically; manage multiple assignments effectively; organize and prioritize workload; work well under pressure; problem solve; recall information with accuracy; pay close attention to detail; work independently with minimal supervision. Able to distinguish colors as necessary; hear sufficiently for general conversation in person and on the telephone, and identify and distinguish various sounds associated with the workplace; see adequately to read computer screens, and written documents necessary to the position.
Licensures and Certifications: None.
Skills Required
- Minimum one year of experience in healthcare billing, auditing, managed care, or collections
- Experience in hospital billing (preferred)
- Basic knowledge of automated billing, follow-up and adjudication systems (LLEAP/Epic, Assurance, DDE, FISS, Medi-Cal website, Noridian Medicare Portal)
- Knowledge of UB04, CPT, HCPC, ICD10, and EOB
- Ability to use 10-Key
- Proficiency with Microsoft Word, Excel, Outlook, PowerPoint
- Ability to operate and troubleshoot basic office equipment
- Strong written and verbal English communication skills and professional telephone etiquette
- Ability to manage multiple assignments, prioritize, work independently, and pay close attention to detail
- No licensures or certifications required
What We Do
Loma Linda is an industry leader in plant-based foods, providing a wide variety of vegetarian and vegan products, including meat analogues. Founded in 1905, the brand focuses on offering affordable, sustainable, and healthy sources of plant-based protein to help people live healthier, longer lives. It is currently owned by Century Pacific North America Enterprise Inc. as part of its family of plant-based brands.
