Description :

ssignment Information

• If Medical Enterprise :
• Department : CBO / ORCM
• Cost Center : -
• PCC / RMG :

USC Address where the work is being performed? Alhambra Campus

• If remote will USC be providing equipment? No
• Job Title : Collector, Professional Billing
• Number of needs :
• Target start date : ASAP
• Duration of Assignment : weeks, with a high possibility to extend.
• Work hours : Day TBD (most of the collectors work from - )
• Dress code : Casual
• Parking / Cost : $ for uncovered parking
• Interview Process : In Person

What are - "Must-Haves that you want to see in a resume?

Minimum of years of experience in profee billing with PPOs and HMOs

Profee billing with PPOs (Preferred Provider Organizations) and HMOs (Health Maintenance Organizations) refers to the process of billing for professional services rendered by healthcare providers to patients who are members of these types of insurance plans.

• Strong communication skills, both written and oral, with comprehensive knowledge of applicable collection laws, policies, and principles governing collection efforts, as well as expertise in problem identification and resolution, insurance, medical terminology, and reimbursement procedures
• Demonstrated expert-level proficiency in a specialty area
• Experience working in diverse computing environments

What are - "Nice to Have details that you want to see in a resume?

Ability to learn new billing systems quickly

What is the required levels experience, education?

High School Diploma

What sell messages would you use to describe this position to the candidate?

Possible full time hire after months.

The Collector Appeal Specialist is responsible for accurately processing inpatient and out-patient claims to third party payers and private pays, following all mandated billing guidelines.

Responsible for ensuring timely filing and guidelines are met; provided quality control checks on paper and electronic claims;

process tracers, denial and related correspondence; initiate appeals; compose and submit appeal letters specific challengeable denial issues consistent with the most update American Medical Association Current Procedural Terminology.

Must demonstrate a positive demeanor, good verbal and written skills, and must be professional in both appearance and approach.

Will maintain consistent productivity standards as appropriate for their unit as well as maintain an average of % (score or better on Quality Reviews.

The Professional Billing Refund Collector is responsible for accurately reviewing credit balances and processing adjustments, transfers and refunds as needed.

Helps in billing operations by providing support and research of misapplied payments. Works as a member of the billing team to provide smooth operational flow resulting in optimum customer (internal / external) satisfaction and effective / efficient processes.

TYPE OF SUPERVISION RECEIVED : Direct supervision required. Daily, weekly and / or monthly Unit meetings may be required.

Direct review of daily production and other production-based reports to validate staff usage needs, portfolio reduction efforts, customer services and staff morale.

Medical Enterprise - Non-Clinical Onboarding :

Must complete all onboarding requirements prior to the start date, with no exceptions.

USC Medical Enterprise Customer Requirement : Fully vaccinated with Covid Vaccine. The facility accepts signed personal / religious / medical exemptions approved by EHS.

Exemption form accepted for :

COVID

Religious / medical exemptions are not applicable for MMR, Varicella, and Hepatitis B vaccinations.

Background Requirements :

• Social Security Trace
• Worked and lived found by SSN Trace - year
• County Criminal F&M - year
• Federal Criminal - year
• Widescreen Plus National Criminal Search
• Healthcare Sanctions State
• OIG / SAM
• Application
• Temporary Work Agreement
• Education High School Diploma
• Employment Employers Must verify out of
• HIPAA
• Harassment and Discrimination
• National Sex Offender Registry
• Influenza for Current Flu Season : Flu Season Vaccine will be required / - /

Note : ALL IS BILLABLE TO USC EXCEPT FOR DRUG SCREEN

Bloodwork (Titers) :

To show immunity to MMR (Measles, Mumps, and Rubella), Varicella (Chickenpox), & Hepatitis B, or proof of injections (shot records) :

• MMR Series of
• Varicella Series of
• Hepatitis B Series of

TB Test / PPD (yearly) :

In case of positive TB history, must present chest x-ray results.

Drug Screen :

Must be taken within hours or the offer is rescinded.

Drug Test Panel :

• AMPHETAMINES
• BARBITURATES
• BENZODIAZEPINES
• COCAINE METABOLITE
• OPIATES
• CODEINE
• MORPHINE
• HYDROCODONE
• HYDROMORPHONE
• OXYCODONE
• PHENCYCLIDINE
• METHADONE
• PROPOXYPHENE Working Job Title Collector, Professional Billing Markup Category Professional Shift Details / Expected Working Days and Hours SEE JD Dress Code / Special Attire SEE JD Does this position require driving?

No Will resource have direct patient contact? No HIPAA training required? Yes Nearest Parking Location SEE JD Will job responsibilities include working directly with minors?

No Hours per Day Hours per Week Total Hours Does the position allow for the worker to be virtual / remote? Yes Shore Options Available for this Position Onshore Only Critical Position? No

Last updated : 2024-06-04