Trinity Health Collector in Westchester, Illinois
Position Summary: The Collector is responsible for accurate and timely collection follow up of payment due to Loyola University Health System (LUHS). This includes calling private and/or group insurance carriers responsible for payment of hospital charges for insured patients, contacting governmental programs (Medicare/Medicaid) responsible for payment of services provided to eligible patients, communicating with other hospital departments (i.e., Patient Access, HIM/Coding, Utilization Review/Case Management, Managed Care, etc.) to obtain demographic, clinical, financial and insurance information, and responding to patient and third party payer inquiries to ensure timely adjudication of claims processed within Patient Financial Services (PFS).
Position Requirements: Minimum Education: Required: High School Diploma plus training acquired through work experience or education Preferred: Bachelors Degree OR equivalent training acquired via work experience or education Minimum Experience: Required: 1-2 years of previous job-related experience Preferred: 3-5 years of previous job-related experience
Position Responsibilities: Proactively follows-up on delayed payments by contacting patients and third party payers, responding timely to inquiries and supplying additional data, as required. Researches claim rejections and/or denials, making corrections, taking corrective actions and/or referring claims to appropriate staff members for follow through to ensure timely resolutions. Evaluates accounts, resubmits claims, and performs refunds, adjustments, write-offs and/or balance reversals, if charges were improperly billed or if payments were incorrect. Maintains collection follow up at variable intervals based on the nature of the problem with the payer organization and the action required to resolve it. Recommends accounts for agency referral based on PFS established protocols. Performs other duties as needed or assigned by the Manager or Director.
Job Number: 00113196
Location: Westchester, IL
Organization Name: Loyola University Medical Center
Facility: LUHS-Westchester Prof Building
Employment Type: Full time