Job Description

FT, 80 hrs/pp, 1.0 FTE; days, Mon.-Fri.

Job Summary:

Collector duties:  Responsible for timely and accurate claims follow up with third party payers; both Commercial and Government.  Responsible to maintain AR aging at or below industry standards.  Able to communicate with payers accurately relating claims information and requesting payment and/or payment status.  Able to use aging reports, payer web sites, UB editor, HCPCS and CPT coding material as well as understanding of ICD-9 coding.  Must be able to read EOBs, denials and other information provided by payers and process claims accordingly.

Cash Posting duties:  Responsible for timely (daily) posting of all payment types received by the organization (Electronic Remit Advices, Paper Remit Advices, daily balancing and reconciling for payments, bank deposits and postings. Responsible for timely (daily) posting of zero pays from all remit sources.

Credit Balance duties:  Responsible for timely processing, and clearing of insurance- based credit balances in accounts.

Education and/or Experience Requirements:

Required:  Must have high school diploma/GED.  Two years insurance collection/follow up, credits or cash posting experience in

hospital or clinic setting. Must be knowledgeable of computerized claims follow up systems, able to access multiple web sites without

difficulty, able to use computer system to generate independent reports, work independently within established goals and be able to

initiate production goals.  Preferred: CRCS.

Licensure & Certifications Requirements:

CRCS preferred.