Medical Collector; Lead – Authorizations

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  • 19-00206
  • Direct Placement
  • Revenue Cycle
  • Los Angeles, CA
Job Description
Position
Lead Collector; Authorizations

The Lead Collector is responsible for providing direction and mentoring to all Collectors I and II on the authorization team and serves as a liaison between staff, supervisors and Management. The Lead Collector understands detailed, complex reimbursement issues and is able to provide and train on these issues. Also performs detailed analyses utilizing knowledge of A/R systems and procedures, interdepartmental functions and regulatory agency guidelines; and utilizes proactive measures to analyze collection procedures & guidelines. The Lead collector evaluates, monitors and assigns work from the worklist as directed by the Supervisor and Manager of the department. The Lead Collector assists the Supervisors with special projects, as needed.
 
Description
 
Directional Functions:

  • Provides functional direction to all authorization staff defined by leadership team.
  • Performs worklist evaluation, monitoring and assigning on a daily, weekly and monthly basis while reporting trends and issues to manager and supervisor
  • Coordinates workflow and assigns and monitors staffs’ work priorities as defined by manager
  • Monitors staff productivity daily and updated productivity log on a weekly basis
  • Conducts QA audits for authorization staff and reports findings to the supervisor and manager
  • Serves as a resource to authorization staff by answering procedural questions and problem solving.

Administrative:

  • Assists in training and providing detail response relating quality systems issues and collection processes.
  • Prepares written communications to leadership team as necessary.
  • Works closely with leadership team to outline what is needed at a collector I and II level to support consistent and continued training. Assists with on-going training and new employee orientation.
  • Works closely with the Supervisors and Management to resolve issues and identify problems.

Financial Analyses:
For the purposes of decreasing A/R days and increasing reimbursement:

  • Provides functional direction to all authorization staff defined by leadership team.
  • Performs worklist evaluation, monitoring and assigning on a daily, weekly and monthly basis while reporting trends and issues to manager and supervisor
  • Coordinates workflow and assigns and monitors staffs’ work priorities as defined by manager
  • Monitors staff productivity daily and updated productivity log on a weekly basis
  • Conducts QA audits for authorization staff and reports findings to the supervisor and manager
  • Serves as a resource to authorization staff by answering procedural questions and problem solving.

 
Customer Service:

  • Handle in a professional and confidential manner all correspondence, documentation, and files.
  • Courteous and professional communications with payers and patients.
  • Perform follow-up calls or written correspondence to patients and payers as needed.

Requirements
Education and Experience:

  • High school graduate.
  • Associate’s Degree in business, or equivalent desired.
  • At least five (5) years account follow-up, billing and collection experience in a health care environment.
  • Proficiency in both Government and Commercial collection environments.
  • Proficiency in the use of medical billing systems such as; AthenaNet
  • High level of proficiency in researching healthcare data for analysis and closure in the accounts receivable arena.
  • Mid-level to Advanced-level proficiency in Word and Excel.
  • Ability to work independently.

Compensation
$19.00 /hr – $22.00/hr

Additional Information
Full-Time (M-F)
 


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