Insurance Collector I - Full Time

Position Title: Insurance Collector 1

Department: Patient Financial Services Safety Sensitive: No

Reports to: CBO Collections Supervisor/Manager Exempt Status: No

Position Purpose

All KHI employees are expected to perform their respective tasks and duties in such a way that supports KHI’s vision of providing the region’s best clinical care and patient service through an environment that fosters respect for others and pride in performance.

The Insurance Collectors assists the Patient Financial Services Department with claim resolution as necessary.

Key Responsibilities

Completes timely follow-up on accounts, resolves denials and/or prepares related correspondence. Assists in process improvement to bring about greater claim resolution. Appropriately works the accounts receivable and denials using the collection tool and policies and procedures to achieve the departmental and hospital goals. Posts adjustments for appropriate account reconciliation and resolution. Understands contracts and payer specific guidelines in order to ensure timely follow up to avoid untimely denials and delays in cash flow. Maintains and facilitates communication within the business and clinical divisions. Responds professionally and within appropriate time frames to telephone, e-mail, and task inquiries.

Process Improvement: Participates in business division meetings, performance improvement activities and committees as assigned. Utilizes Issues Log when necessary.

Required Qualifications

Experience: Six months or more of progressive work experience required.

Education: High school graduate or equivalent required.

Knowledge/Skills: Ability to communicate effectively with others, to manage multiple priorities and tasks, to maintain attention to detail; knowledge of and ability to use computer hardware and software applications. Knowledge of coding rules and guidelines and able to appropriately interpret EOBs.

Preferences

Special Position Requirements

One year hospital or clinic collection experience preferred.

EXPOSURE CATEGORIES: Bloodborne disease exposure category: II.

Work Requirements

Employee must be capable of consistently reaching and/or working above and below shoulder level; sitting at computer terminal 90% of time per day; walking or on feet 10% of time per day with frequent bending, squatting, kneeling, standing; communicating using telephone.