Patient Financial Services

Insurance Collector

Position Title: Insurance Collector

Department: Patient Financial Services

Safety Sensitive: No

Reports to: CBO Collections Supervisor/Manager

Exempt Status: No

Qualified Candidates must have: Six months or more of progressive work experience and high school graduate or equivalent (please note that if offered a position you will have to provide proof of education requirements either with a diploma or official transcripts).

Position Purpose: All KHI employees are expected to perform their respective tasks and duties in such a way that supports KHIs vision to be among the kindest highest quality health systems in the country.

The Insurance Collectors assists the Patient Financial Services Department with claim resolution as necessary.

Key Responsibilities:

• Completes timely follow-up on accounts resolves denials and/or prepares related correspondence.
• Assists in process improvement to bring about greater claim resolution.
• Appropriately works the accounts receivable and denials using the collection tool and policies and procedures to achieve the departmental and hospital goals.
• Posts adjustments for appropriate account reconciliation and resolution.
• Understands contracts and payer specific guidelines and ensures timely follow up to avoid denials and delays in cash flow.
• Maintains and facilitates communication within the business and clinical divisions.
• Responds professionally and within appropriate time frames to telephone, e-mail, and task inquiries.
• Participates in business division meetings performance

Required Qualifications:

• Experience: Six months or more of progressive work experience required.
• Education: High school graduate or equivalent required.
• Licensure/Certification: none.
• Knowledge/Skills: Ability to communicate effectively with others manage multiple priorities and tasks while maintaining attention to detail. Knowledge and ability to use computer hardware and software applications. Knowledge of coding rules and guidelines and able to appropriately interpret EOBs. Complete Core and Specialty Training as required.

Preferences:

• One year hospital or clinic collection experience preferred.

Special Position Requirements:

• EXPOSURE CATEGORIES: Bloodborne disease exposure category: II.
• Work Requirements Employee must be capable of consistently reaching and/or working above and below shoulder level sitting at computer terminal 90 of time per day walking or on feet 10 of time per day with frequent bending squatting kneeling standing communicating using telephone.

Date Staff Position Description Created / Revised: 11/2014 2/2019 4/2019 2/18/2026