HUMAN RESOURCES JOB DESCRIPTIONS / Patient Financial Services

of 2 HUMAN RESOURCES JOB DESCRIPTIONS / Patient Financial Services SUBJECT: Collector HRJD.130 JOB DESCRIPTION

COLLECTOR Department: Business Office Reports to: Business Office Manager JOB DUTIES & RESPONSIBILITIES

Job Summary: Under the supervision of the Business Office Manager/Collection Supervisor the Collector is responsible for the follow-up performed on all outstanding accounts which include but are not limited too high dollar hospital claims, ancillary services, and imaging claims to ensure payment without delay. They communicate clearly and efficiently by phone, in person, in writing with our clients, insurance carriers, patients and team members. Creates and files appeals. Maintains productivity standards and reports. Operates computer to input follow-up notes and retrieve collection and patient information. Ensures monthly and quarterly goals are met, both as a team and individually.

JOB SPECIFICATIONS

Education: High School diploma or equivalent. Some college preferred

Experience and Skills: 1. Two to three years experience in collections, hospital collections preferred 2. Knowledge of Accounts Receivable, Medicare, Medi-Cal, HMO/PPO, Commercial and Workmen’s Compensation (W/C) collections with some billing knowledge 3. Working knowledge of ICD-9, CPT, HCPCS and DRG coding as it relates to reimbursement 4. Knowledge of collection procedures, industry standards and regulations 5. Knowledge of insurance contracts, deductibles, co-insurance, and authorizations 6. 10-Key operation

Job Duties: 1. Run aging reports each month for all designated accounts that are over 30 days. 2. Follow up each month on all designated accounts and make sure they are current and working towards resolution 3. Current and detailed documentation is required on all delinquent accounts 4. Work daily tickler report 5. Monthly meetings with Collection Supervisor to review all designated accounts that are over 60 days old 6. Review and work all incoming correspondence 7. Take calls from patients and insurance companies

D Martin, Business Office Manager: 8-1-2013 Approved by: Human Resources 8-14-13 Page 2 of 2 HUMAN RESOURCES JOB DESCRIPTIONS / Patient Financial Services SUBJECT: Collector HRJD.130 8. Review payments and send out appeals if necessary 9. Maintain knowledge of insurance contracts 10. Cover job responsibilities for co workers when they are out of office 11. Performs other job duties as assigned

Physical Requirements:

For the purpose of the American Disability Act (ADA), this position has been assessed to identify essential and marginal functions. Tasks listed below are considered to be essential functions of the job. Reasonable accommodations may be made for individuals with qualifying disabilities in order to perform the essential function of the job.

1. Work Position

a. Sitting 90% or more

b. Standing 5% or more

c. Walking 5% or more

2. Body Movements

a. Lifting/Carrying up to 20lbs Frequency, less than 15%

b. Bending and stooping Frequency, less than 25%

c. Hand grip, wrist and digital dexterity Frequency, 60%

3. Speaking, hearing and visual acuity to receive and interpret instructions

4. Verbal and written English communication skills

5. Mathematical and reasoning Skills

6. Normal vision range. Ability to distinguish letters, numbers and symbols

7. Requires the use of office equipment, such as computer, telephones, photocopier, and scanner and FAX Machine

Employee Signature Date

D Martin, Business Office Manager: 8-1-2013 Approved by: Human Resources 8-14-13