Description

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well.

Our Core Values are:

• We serve faithfully by doing what's right with a joyful heart.

• We never settle by constantly striving for better.

• We are in it together by supporting one another and those we serve.

• We make an impact by taking initiative and delivering exceptional experience.

Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include:

• 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.

Job Summary The Collector II, under general supervision, performs collection activities for assigned accounts. Contacts insurance company representatives by phone or correspondence. Collects inaccurate insurance payments and penalties according to BSWH Managed Care contracts. Maintains collection files on the accounts receivable system.

Essential Functions of the Role

• Performs collection activities for assigned accounts. Contacts insurance companies to resolve payment issues and penalties owed to BSWH under Managed Care contracts.

• Contacts insurance company representatives by phone or correspondence to check claim status, appeal, or dispute payments and penalties. Has knowledge of CPT codes, contracting, per diems, and other payment methods in the medical industry.

• Maintains collection files on the accounts receivable system. Enters detailed records consisting of any pertinent information needed for collection follow-up.

• Processes accounts for write-off and legal. Conducts thorough research and manual calculation from Managed Care Rate Grids and Contracts. Creates accurate amounts due to BSWH per each Insurance Contract. Enters data in Patient Accounting systems and Access database to track payments and penalties. Prepares legal documents to refer accounts to the Managed Care legal group for uncollectable accounts.

• Thorough review ensures account balances are true and accurate. Correct any contractual or payment entries. Verify insurance coding to ensure accurate payments.

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

Belonging Statement We believe that all people should feel welcomed, valued and supported.

QUALIFICATIONS

• EDUCATION - H.S. Diploma/GED Equivalent

• EXPERIENCE - 2 Years of Experience