JOB SUMMARY

The Collector II, under general supervision and according to established procedures, performs collection activities for assigned accounts. Reviews denied claims and audits received from insurance companies to determine accuracy. Gathers all pertinent information to support the denial, posts adjustments, contacts insurance companies by telephone or through provider portals to determine accuracy of denial. Maintains collection files on the accounts receivable system.

ESSENTIAL FUNCTIONS OF THE ROLE

Performs collection activities for assigned accounts. Contacts insurance companies to verify authorizations, level of care, denial reason(s), and/or to send claim back for reprocessing.

Has knowledge of claims, UBs, EOBs, denial reason codes, and medical insurance providers.

Maintains collection files on the accounts receivable system(s). Enters detailed records consisting of any pertinent information needed for denial/audit review.

Processes accounts for write-off. Conducts thorough research and manual calculation to determine accurate amounts due to BSWH per each individual Insurance Contract. Enters data into Patient Accounting systems to refer accounts to the

Appeal Writer team for appeal of denied claims.Through thorough review, ensures that balances on accounts are true and accurate, as well as correct any contractual or payment entries. Verifies insurance coding to ensure accurate payments.

Receives, reviews, and responds to correspondence related to accounts. Takes action as required

BENEFITS

Our competitive benefits package includes the following

• Immediate eligibility for health and welfare benefits
• 401(k) savings plan with dollar-for-dollar match up to 5%
• Tuition Reimbursement
• PTO accrual beginning Day 1

Note: Benefits may vary based upon position type and/or level

QUALIFICATIONS

• EDUCATION - H.S. Diploma/GED Equivalent
• EXPERIENCE - 2 Years of Experience

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About Baylor Scott & White Health

Baylor Scott & White Health (BSWH) is the largest not-for-profit health care system in Texas and one of the largest in the United States. With a commitment to and a track record of innovation, collaboration, integrity and compassion for the patient, BSWH stands to be one of the nation’s exemplary health care organizations. Our mission is to serve all people by providing personalized health and wellness through exemplary care, education and research as a Christian ministry of healing. Joining our team is not just accepting a job, it’s accepting a calling!

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