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Biller/Collector III

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KORE1, a nationwide provider of staffing and recruiting solutions, has an immediate opening for a remote Biller/Collector III.

Essential Functions:
  • Reviews Admit and Discharge report daily to capture the BMT patients.
  • Creates Inpatient and Outpatient folders for services BMH, BMO, BMV, BMR, and BMT and identifies which are special contracts with special billing instructions.
  • Monitors the Inpatient and Outpatient accounts and gathers all pertinent information for billing.
  • Reviews weekly Autologous and Hematology schedules to capture the start of the case rate period.
  • Request Physician bills, Home Health, Pharmacy and Village claims for global case rate contracts upon patient discharge from COH.
  • Transfers donor charges to the BMT accounts.
  • Works with very complex contracts carve outs and exclusions that involve several accounts for the global period Inpatient and Outpatient claims.
  • Calculates the expected reimbursement for global and non-global case rates and submits contractual write-offs timely.
  • Verifies BMT dates of service, harvesting, stem cell collections and ablative dates for high dose chemo or high dose radiation, and reviews Oasis system for notes and/or treatment plan to ensure proper reimbursement for a specific contract.
  • Collection of National Marrow Donor Program (NMDP) invoices for contracts that specify this as additional reimbursement in addition to the case rate amount.
  • Collect on Kaiser Non-BMT accounts for Inpatient and Outpatient.
  • Update the Non-BMT Kaiser report on a weekly basis.
  • Monitors post transplant accounts, which could extend up to a year for proper reimbursement.
  • Comprehends complex BMT contracts and language interpretations.
  • Demonstrates ability to work independently with minimal direct supervision.
  • Provides coverage for the BMT collector when absent

  • High School or equivalent; Associate's or bachelor's degree in Finance, Accounting, Business or Healthcare Administration, or a related field, preferred
  • 3+ years of Bone Marrow Transplant billing and collections experience.
  • Working knowledge of insurance and medical terminology

Specializing in professional and technical recruiting, KORE1 is committed to supporting top IT, Engineering, Creative, Scientific, Accounting and Finance professionals in their career paths. We build deep relationships with leading companies, connecting them to exceptional talent every day. With extensive industry expertise and unmatched opportunities, our goal is to provide a unique experience for our contractors and consultants as they prepare for their next role. We are passionate about matching the right people with the right companies.

Kore1 provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Kore1 complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. Kore1 expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of Kore1's employees to perform their job duties may result in discipline up to and including discharge.

Salary Range:

$ 26.00 - $ 28.00