Collector I

Location: Costa Mesa, CA

Position Summary:

The Collector I resolves payments with insurance companies, government payors, and patients. Key duties include:

Managing accounts and work queues

Evaluating and pricing claims

Initiating underpayment appeals

Handling payor/patient correspondence

Escalating billing issues

Reporting billing edits

Understanding Revenue Cycle and managed care contracts

Interpreting EOBs and ERAs

Educating on benefit plans

Familiarity with UB04 and HCFA 1500 forms

Knowledge of insurance payors and claims processing

Using patient accounting systems

Documenting calls and actions

Setting up payment arrangements

Processing bankruptcy and deceased patient accounts

Required Skills & Experience:

1 year of hospital business experience or strong customer service background

Basic knowledge of insurance plans, hospital reimbursement, ICD10, and CPT coding

Education:

Required: High school diploma or equivalent

Certifications & Licensure:

Required: N/A

Compensation:

$30