San Francisco, California

Responsible for both billing and collections, gathering and securing all information needed for billing, follow-up, and payment of accounts in accordance with the specific payer guidelines, policies, procedures, and compliance regulations. This includes maintaining the deficiency (WQ) lists used to obtain missing documents from internal or external entities, resolving claim rejections, packaging claims, including global billing with attachments of professional fee claims, performing proactive follow-up with payers, grants, and other entities, and securing payment of accounts. The biller/collector is accountable and responsible for billing through account closure. Senior Collections Representatives utilize multiple databases and applications to analyze and take appropriate action on information or documents received. Applications and Databases consist of: EPIC EMR SYSTEM, CIRIUS, REVENUE CYCLE PRO, IMAGING, TRANSPLANT, AND MULTIPLE PROVIDER WEBSITES OF CONTRACTED PAYERS. There is frequent contact with insurance company representatives, hospital and clinical departments, and managers, as well as patients, professional billing groups and collection service vendors.

San Francisco, California

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