Collector

• Complete daily follow-up or denial account assignments accurately and timely
• Identify and analyze underpayments, discrepancies, denials, and appeals
• Review posted payments, adjustments, and EOBs to ensure accurate reimbursement
• Research, document, track, respond to, and resolve appeals with third-party payers
• Communicate with payers regarding outstanding claims and payment variances
• Document all activity on patient accounts
• Collaborate with internal departments and external organizations to ensure correct reimbursement and resolve appeals
• Monitor underpaid and denied claims for trends and root causes; report findings to supervisor
• Recommend improvements and communicate trends and issues to management
• Follow best-practice processes in follow-up and customer service activities
• Participate in staff training related to improvement opportunities and Medicare/Medicaid requirements
• Act in accordance with LCMC Health's mission and values and ethical standards
• Adhere to HIPAA, federal and state regulations, and facility-specific guidelines

Explore Denials Management Medical Collector – PB at LCMC Health. Review requirements and application details.