Collector - LCMC Health Westpark Campus

Your job is more than a job

This job description is intended to describe the general nature and level of work performed by employees assigned to this department. This is not an exhaustive list of all duties and responsibilities, and LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary.

GENERAL DUTIES

• Maintains responsibility for accurate and timely completion of daily follow-up or denial account assignment.
• Identifies and analyzes underpayments to identify reasons for discrepancies and process denials and appeals as needed.
• Reviews posted payments and adjustments to ensure accuracy. Analyzes EOBs to ensure proper reimbursement.
• Conducts relevant research to complete appeals process to include assessing, complete and accurate documentation, tracking, responding to, and / or resolving appeals with third party payers in a timely manner.
• Communicates with payers on outstanding claims, resolves payment variances and achieves timely reimbursement.
• Accurately documents all activity on the patient account.
• Collaborates with internal departments and external organizations to ensure correct reimbursement and resolve appeals.
• Monitors underpaid and denied claims for trends and to identify root causes and reports findings to supervisor.
• Demonstrates initiative and resourcefulness by making recommendations and communicating trends and issues to management.
• Observes best practice processes in follow-up and customer service activities.
• Participates in staff training that aligns with recognized improvement opportunities and increase understanding of Medicare/Medicaid requirements as well as general follow-up processes.
• Acts in accordance with LCMC Health’s mission and values, while serving as a role model for ethical behavior.
• Adheres to federal and state regulations related to the protection of patient information (e.g., the Health Insurance Portability and Accountability Act (HIPAA) as well as facility-specific guidelines.

EDUCATION QUALIFICATIONS

• High School Diploma/GED or equivalent OR 2 years of work experience in healthcare particularly in billing, collections, payment processing, or denial management is preferred​.

REPORTING RELATIONSHIPS

• Does this position formally supervise employees? No

FUNCTIONAL DEMANDS

• Light: Light physical requirements- Light Work - Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly (Constantly: activity or condition exists 2/3 or more of the time) to move objects. Physical demand requirements are in excess of those for Sedentary Work. Even though the weight lifted may be only a negligible amount, a job should be rated Light Work: (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3) when the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible. NOTE: The constant stress and strain of maintaining a production rate pace, especially in an industrial setting, can be and is physically demanding of a worker even though the amount of force exerted is negligible.

PHYSICAL DEMANDS

• Sitting - Continuous (67-100% of day)
• Standing - Continuous (67-100% of day)
• Walking - Continuous (67-100% of day)
• Climbing (e.g., stairs or ladders) - Occasional (0-35% of day)
• Lifting Floor to waist level: 0-10lbs - Frequent (36-66% of day)
• Lifting Floor to waist level: 10-20lbs - Frequent (36-66% of day)
• Lifting Floor to waist level: 20-50lbs - Frequent (36-66% of day)
• Lifting Floor to waist level: 50-100lbs - Frequent (36-66% of day)
• Lifting Floor to waist level: 100+lbs - Frequent (36-66% of day)
• Lifting Waist level and above: 0-10lbs - Frequent (36-66% of day)
• Lifting Waist level and above: 10-20lbs - Frequent (36-66% of day)
• Lifting Waist level and above: 20-50lbs - Frequent (36-66% of day)
• Lifting Waist level and above: 50-100lbs - Frequent (36-66% of day)
• Lifting Waist level and above: 100+lbs - Frequent (36-66% of day)
• Carrying objects - Frequent (36-66% of day)
• Push/pull - Frequent (36-66% of day)
• Twisting - Frequent (36-66% of day)
• Bending - Frequent (36-66% of day)
• Reaching forward - Frequent (36-66% of day)
• Reaching overhead - Occasional (0-35% of day)
• Squat/kneel/crawl - Occasional (0-35% of day)
• Wrist position deviation - Continuous (67-100% of day)