Job Summary: The Collector II serves as the account representative responsible for engaging with insurance companies, government payors, and patients to resolve payment issues and ensure account resolution for Hoag. This role requires thorough knowledge of the Revenue Cycle process, from Patient Access through Patient Financial Services.

Responsibilities: Manage assigned accounts within designated work queues. Utilize contract management tools to obtain maximum reimbursement by evaluating claims according to contract rates. Initiate appeals for underpayments and handle payor/patient correspondence promptly. Escalate accounts requiring further appeals due to billing or payment issues. Report billing discrepancies to supervisor. Interpret EOBs and ERAs to ensure proper payment, and assist in educating patients and colleagues on benefit plans. Knowledgeable in hospital billing forms (UB04) and HCFA 1500 forms. Proficient with various payor processes including HMO, PPO, Medicare, etc. Document all actions and calls in the appropriate systems and accurately code insurance plan codes. Establish payment arrangements and process accounts related to bankruptcy and deceased patients. Assist in multiple areas, handle special projects, and provide peer training.

Skills Required: 3 years of experience in hospital/medical billing or strong customer service background. Proficiency in Epic Resolute, Eric Care, and Epic CPOE systems. Intermediate skills in Excel. Excellent interpersonal and communication skills. Capable of independent problem-solving and research for resolution.

Education Required: High school diploma or equivalent.

Compensation: $25/Hour

Application Process: Please call (949) 241-2533 for more information