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COLLECTOR


Moffitt Park Center, 13008 Telecom Drive, Tampa, FL 33637

Mngd Care Collections

Full Time

80

Day Shift

M-F 7 to 3:30

Moffitt Cancer Center is internationally recognized for our focus on personalized cancer care and translational research. The mission of Moffitt is clear, focused, and fully stated in nine words, "To contribute to the prevention and cure of cancer." With a tradition of excellence that began with the first patient admission in 1986, dedicated Moffitt physicians, scientists, and staff members have remained committed to excellence in an atmosphere characterized by kindness, caring, and hope.

Position Highlights:

·        Processing insurance reimbursement collection efforts based on assigned payer of responsibility and eliminates any barriers for timely and correct reimbursement.

·        Resolves and/or resubmits rejected or denied claims appropriately as necessary or described by Supervisor or Manager. Protects and defends contract terms, Letters of Agreement and Rate Agreements.

 The Ideal Candidate will

·        Have with experience with non-government payors preferred, including eligibility inquiries, billing and claim submission experience;

·        Have experience with Medicare and/or Government payors preferred, including eligibility inquiries, billing and claim submission experience; &

·        Have experience with Medicaid/Medicaid HMO payors preferred, including eligibility inquiries, billing and claim submission experience.

 

Responsibilities:

 

·        Utilizing One-Time Resolution works all assigned insurance payers to ensure prompt and proper reimbursement on patient accounts. Makes outbound calls and/or utilizes payer portals, payer website or 277 Transmission Code Sets for status. Ensures proper escalation is performed when account receivable is not collected in a timely manner. Documents the billing, follow-up and/or collection efforts. Ensures follow-up and follow through are met consistently, per protocol, on outstanding receivables.

·        Analyzes work lists and/or reports daily (denials, underpayments) to appropriately resolve issues. Responds to written correspondence received from payer and/or patients. Is responsible to stay current on all active, assigned accounts which prevents abandonment, uncollected account receivables.

·        Completes account follow-up daily, maintaining established productivity and AR goals, and notifies Supervisor, when necessary, of issues preventing achievement of such goal(s). Ensures AR <120 and Cash goals are met.   

·        Processes or requests adjustments to accounts, based on authorized threshold amounts, which have been deemed uncollectable, using proper format.  

·        Reviews contracts to determine if payments are appropriate; defends contract terms, Letters of Agreement and Rate Agreements.  

 

Credentials and Qualifications:

·         High School Diploma/GED.

·         Three (3) years medical collections experience in a hospital or physician business office setting.

·         Working proficiency in Microsoft Office applications, i.e. Word, Excel, PowerPoint, and Outlook.

Moffitt Cancer Center is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, or protected veteran or disabled status. We seek candidates whose skills, and personal and professional experience, have prepared them to contribute to our commitment to diversity and excellence.