Associate - Collections

Job ID / Title:Associate - CollectionsJob Category:HealthcareCity:TorranceState:CAWork Location:South Western AveJob DescriptionSutherland is seeking an analytical and attentive person to join us as an Accounts Receivable Associate. The accounts Receivable will be responsible for reporting, tracking payments and appealing denials. We are a group of driven and hard-working individuals. If you are looking to build a fulfilling career and are confident you have the skills and experience to help us succeed, we want to work with you! Job Requirements:Strong attention to detail

Ability to communicate in a clear and professional manner

Thorough understanding of the revenue cycle process, from patient access (authorization, admissions) through Patient Financial Services (billing, collections) procedures and policies

Has a full understanding of the Managed Care collections

Familiar with terms such as MMC, HMO, PPO, IPA and Capitation and how these payers process claims

Knowledge of Managed Care contracts, Contract Language and Federal and State requirements

Intermediate understanding of Hospital billing form requirements (UB04) and HCFA 1500

Medical claims and/or hospital collections experience

Minimum high school education, technical training, and/or experience preferred to perform the job

QualificationsJob Responsibilities: Responsible for performing payment follow up activity on patient accounts assigned

Conduct collection activity on previously appealed claims by contacting government agencies, third party payers via phone, email, or online

Continue collection activity until account is resolved, sent to Legal, or disputed

Provide ongoing appropriate collection activity on appeals until the payer has responded to the appeal

Ensure daily productivity standards of assigned accounts are met

Request additional information from Patients, Medical Records, and others upon request from payers

Communicate with insurance plans and research health plan for benefits and types of coverage

Review contracts and identify billing or coding issues and request re-bills, secondary billing, or corrected bills as needed.

Recognize payer delays and inform management of such delays in order to be addressed at the payer level

Return accounts to Appeal Writers for next level appeals as needed

Identify payer trends in payment delays and escalate issues to Supervisor

Ensure compliance with State and Federal Laws Regulations for Managed Care and other Third Party Payers

Provide ongoing appropriate collection activity on appeals until the payer has responded to the appeal