The Collector is responsible for accurately processing inpatient and out-patient claims to third party payers and private pays, following all mandated billing guidelines. This position is responsible for ensuring timely filing and guidelines are met; provided quality control checks on paper and electronic claims; process tracers, denial and related correspondence; initiate appeals; compose and submit appeal letters specific challengeable denial issues consistent with the most update American Medical Association Current Procedural Terminology. Will maintain consistent productivity standards as appropriate for their unit as well as maintain an average of 90% (score 9.0) or better on Quality Reviews.
Minimum Education:â¢High School or GED Minimum Experience/Knowledge:Required: â¢2 Years of experience as a Collector or in a related field.â¢Experience with medical services collections for any combination of payors (Medicare, Medi-Cal/Caid, HMO, PPO, Commercial, and Private Pay). â¢Excellent verbal and written communication skills. â¢Detailed knowledge of applicable collection laws/policies/principles/etc., governing collection efforts, problem identification and resolution, insurance, medical terminology, and reimbursement procedures. â¢Must demonstrate a positive demeanor, and must be professional in both appearance and approach. â¢Proficient computer skills, Microsoft Office Suite (Word, PowerPoint, Outlook, and Excel); working knowledge of databases, or financial software a plusâ¢Able to multitask, prioritize, and manage time efficientlyâ¢Self-motivated and self-directed.â¢Able to work with minimal supervisionâ¢Able to create trust and build relationshipsâ¢Able to analyze problems and strategize for better solutionsPreferred:â¢Knowledge of ICD-9, CPT-4 and HCPCâs coding systems â¢Understanding of contract payer policies and proceduresâ¢Ability to interpret Managed Care ContractsRequired License/Certification:â¢Fire and Safety Certification. (If no card upon hire, one must be obtained within 30 days of hire, and maintained by renewal before expiration date.
USC is the leading private research university in Los Angeles—a global center for arts, technology and international business. With more than 47,500 students, we are located primarily in Los Angeles but also in various US and global satellite locations. As the largest private employer in Los Angeles, responsible for $8 billion annually in economic activity in the region, we offer the opportunity to work in a dynamic and diverse environment, in careers that span a broad spectrum of talents and skills across a variety of academic and professional schools and administrative units. As a USC employee and member of the Trojan Family—the faculty, staff, students, and alumni who make USC a great place to work—you will enjoy excellent benefits, including a variety of well-being programs designed to help individuals achieve work-life balance.