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Third Party Collections Coordinator
Boulder City Hospital - Boulder City, NV
posted 2 months ago
About the position
The Third Party Collections Coordinator at Boulder City Hospital is responsible for managing third-party collections and acting as a liaison between insurance carriers and the hospital. This role aims to maximize revenue reflective of the hospital's services, organize contract audits of accounts receivable, and manage the aging of Medicaid and third-party accounts. The coordinator will also relay information regarding coverage and payment changes to the Patient Financial Services (PFS) Director.
Responsibilities
- Manage day-to-day collections from third-party accounts.
- Coordinate with Patient Financial Services to increase cash flow.
- Analyze and review claims for accuracy, completeness, and eligibility.
- Ensure correct application of write-offs and contractual adjustments to accounts.
- Handle interactions with outside vendors and internal departments to enhance cash flow.
- Address accounts that are over 60 and 90 days overdue with staff and outside agencies.
- Prepare and maintain reports and records for processing.
- Review payment postings and adjustments to verify correct account postings.
- Research high-value claims to ensure expected reimbursement.
- Identify errors and determine their origin for resolution.
- Review, research, and resolve complex claims processing issues involving high dollar accounts.
- Secure necessary medical documentation required by third-party insurances.
- Submit errors back to the proper source in a timely manner and manage responses.
- Collaborate with Business Analyst on Quality and Audit projects.
- Stay updated on third-party billing requirements and changes.
- Maintain third-party billing logs.
- Demonstrate knowledge of and support hospital mission, vision, and values.
Requirements
- High School diploma or GED; college preferred.
- 5+ years of collection experience in a hospital or medical office setting.
- 8+ years of hospital claims experience, including 4+ years of claims auditing.
- In-depth knowledge of medical terminology.
- Proficient in Microsoft Office and Cerner.
- Strong writing and communication skills.
Nice-to-haves
- Experience with online insurance and vendor applications.
- Ability to work independently with minimal supervision.
Benefits
- Full-time position with competitive pay ranging from $20.00 to $24.00 per hour.
