Job Overview
Skilled revenue cycle collector. Oversee and work account receivables for hospital claims (UB04 form) to ensure
client compliance. Provide great customer experience while working to collect and negotiate terms of payment
on outstanding account balances. Work in a professional, customer-centered way; taking inbound calls and
making outbound calls.

Job Duties and Responsibilities
• Submit hospital medical claims in accordance with federal, state, and payer mandated guidelines.
• Research, analyze, and review hospital claim errors and rejections and make applicable corrections.
• Ensure proper hospital claim submission and payment through review and correction of claim edits, errors,
and denials.
• Maintain required knowledge of payer updates and process modifications to ensure accurate claims.
• Investigate, follow up with payers, and collect the insurance accounts receivables assigned.
• Determine reason for non-payment and take appropriate action.
• Escalate stalled hospital claims to manager.
• Verify and modify hospital claims accordingly to ensure that client account sits at correct liability and
balance with payer.
• Identify any payer specific issues and communicate to team and manager.
• Lead and contribute to daily shift briefings.
• Comply with productivity standards while maintaining quality levels.
• Receptive to feedback and continual performance improvement, and willingness to grow and learn.
• Punctual, dependable, and adapt easily to change
• Strong character by demonstrating accountability and responsibility
• Perform work duties using ethical decision making processes.
• Takes professional responsibility for quality and timeliness of work product.
• Review employee scorecards daily and provide coaching to employee if not meeting key metrics.
• Escalate employee deficiency to manager if coaching attempts have failed.
• Research problem accounts.
• Escalate client IPO issues to manager if not be resolved internally.

Qualifications
• High school diploma or equivalent
• 1+ years of experience working with facilities to
secure insurance payments.
• 1+ yearS of experience with hospital facility claims (UB-04) follow up and appeals with health insurance
companies.
• Experience with Epic preferred.
• Proficiency with computer including Microsoft Office Suite/Teams and GoToMeeting/Zoom, etc.