Medical Collector

Job Title: Collections Representative Department: Revenue Cycle / Patient Accounts Reports To: Collections Supervisor or Manager Job Summary: The Collections Representative is responsible for ensuring the timely and accurate collection of payments on inpatient and outpatient accounts. This role focuses on maximizing reimbursement by actively following up on outstanding claims, resolving discrepancies, and maintaining detailed documentation of all collection activities. The representative manages a portfolio of accounts and utilizes various tools, including Microsoft applications and patient account systems, to perform essential functions. Key Responsibilities: Manage a portfolio of assigned patient accounts, focusing on follow-up and resolution of unpaid claims. Review inpatient and outpatient claims for completeness, accuracy, and potential collection opportunities. Perform consistent follow-up on billed accounts (biweekly or monthly) to determine payment sources or resolve payment delays. Initiate and maintain contact with third-party payers to determine reimbursement status, resolve discrepancies, and expedite payments. Investigate and document reasons for payment variances and initiate corrective actions as needed. Utilize knowledge of medical billing systems and payer contracts to interpret Explanation of Benefits (EOBs) and resolve claim issues. Maintain detailed records of communication, account activity, and resolution steps in the patient account system. Meet or exceed department standards for call volume, resolution rates, and account touchpoints. Ensure compliance with HIPAA regulations and internal policies related to patient confidentiality and data security. Qualifications: Strong understanding of hospital billing, collections, and follow-up procedures. Proficient in balancing accounts and identifying appropriate corrective actions. Familiarity with third-party reimbursement processes, payer-specific rules, and denial resolution. Effective communication skills for managing high-volume telephone contact and written correspondence. Required Experience: Minimum 3 years of hospital collections experience. In-depth knowledge of payer contracts and medical billing procedures. Proficiency with UB04 claim forms and familiarity with standard billing software and systems. Strong skills in Microsoft Office applications (Word, Excel, Outlook) and other relevant Job Type: Contract Pay: From $34.00 per hour Expected hours: 40 per week Schedule: 8 hour shift Evening shift Monday to Friday Ability to Commute: Los Angeles, CA 90024 (Required) Work Location: In person