The Patient Collections Representative is responsible for the collection of patient balances from either self-pay accounts or balances after insurance accounts through direct phone contact, email, and in person. The representative will be responsible for generating and fully reviewing prior to mailing patient statements for their assigned facilities within the corporate-assigned timeframes. The representative will be fully responsible for handling patients' questions, complaints, problems, and concerns and providing a full, detailed explanation of the billing process.
- Minimum Education : High School Diploma / G.E.D.
- Knowledge of medical billing and customer service.
- Must be able to read, analyze, and interpret medical Explanation of Benefit documents.
- Familiarity with managing patient accounts and collections, ensuring timely resolution of outstanding balances and compliance with billing policies.
- Demonstrated working knowledge of the medical revenue cycle, including patient registration, charge capture, billing, and collections
- Minimum 2 Years of experience in customer service, collections, or medical billing is preferred.
- Strong communication skills in both oral and written.
- Ability to type 40 WPM.
- Ability to multitask, like navigate a computer while on the telephone.
- Positive attitude, Team Player, and ability to work independently.
- Demonstrates excellent problem-solving skills and negotiating skills.
- Prior experience working with self-pay and commercial accounts preferred.
- Knowledge of Centricity is beneficial.
- Familiarity with computers and Windows PC applications, which includes the ability to learn new computer systems applications.
- Willing to train the proper candidate.
- Bilingual / Spanish speaking is a benefit.
JOB RESPONSIBILITIES / DUTIES
Answer incoming phone calls from customers and identify the type of assistance the customer needs (i.e., benefit and eligibility, billing and payments, authorizations for treatment, and explanation of benefits [EOB's].Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systemsResolve patient calls through to resolution in real time through comprehensive and timely follow-up with the member on the specified date given to patients.Communicate and collaborate with patient to resolve issues, using clear, simple language to ensure complete understanding of their bill / statement.Understanding and staying informed of the changes with procedures, billing guidelines, and laws for specific insurance carriers or payers.Initiating collection on all open patient balances with patients via statement and direct phone calls or emails, with possible negotiation. Will address all patient concerns regarding patient care, costs, and experience with the facility and billing.Set up and process patient payment plans as necessary.Respond to correspondence from patients.Maintain accurate documentation of all collection activities in compliance with HIPAA and company policies.Meet the performance goals established for the position in the areas of efficiency, accuracy, quality, member satisfaction, and attendance.Perform other duties as assigned by the department manager.WORKING CONDITIONS
Frequent speaking, listening using a headset, use of hands / fingers across keyboard or mouse, handling other objects, and long periods working at a computer.The service center has with moderate noise level due to representatives talking, computers, printers, and floor activity.While performing the duties of this job, the employee is frequently required to stand, walk, and sit.Must submit to random drug screenings.Full-Time Benefit Perks :
Health benefits start on the first of the month after hireMedical, dental, and vision plans with sliding-scale premiums100% coverage for preventive health servicesHSA and FSA options availableCompany-paid life insurance and long-term disability401(k) with contributions starting after 30 days100% match on the first 4% ,
Full vesting after 3 yearsAccess to exclusive employee discounts on travel, fitness, shopping, and morePaid Time OffJoin us and make a significant impact on our company's success in reaching our target audience and driving business growth.