group
Category
Administrative Support
business
Department
Patient Financial Services
date_range
Schedule
Full Time
schedule
Shift
Day
timer
Hours
8 Hour Shift
place
Location
Rancho Mirage, CA
info
Job #
R0252331




  • Job Objective: A brief overview of the position.



    • Works under the direction of the Customer Service Manager. Is engaged in activities relating to the collection of payment and/or resolution of self-pay balance accounts.


  • Reports to



    • Customer Service Manager


  • Supervises



    • N/A


  • Ages of Patients



    • N/A


  • Blood Borne Pathogens



    • Minimal/ No Potential


  • Qualifications



    • Education



      • Some college preferred


    • Licensure/Certification



      • N/A


    • Experience



      • Required: One year prior experience in a hospital setting or billing certification; 2 years experience in a clinic, payer or collection agency setting may be substituted. Must have working knowledge of managed care, Medicare/Medi-Cal Billing regulations.


  • Essential Responsibilities



    • Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations.


    • Manages new accounts, on a daily basis, by working within Receivables Workstation. Contacts patient and/or account guarantor to solicit payment on account.


    • Manages new credit balance accounts daily and prepares adjustments or refunds to zero the account balance.


    • Works all accounts listed in on the daily bad debt and bankruptcy list, on a daily basis to promote collection of accounts. This will include telephoning the payer or identifying the claim on the payers’ Internet location.


    • Manages entire account inventory on a timely basis to promote payment and resolution of all accounts prior to ninety days from date of billing.


    • Receives and reacts to incoming mail and telephone call from patients regarding assigned accounts.


    • Works with patients in regards to extended payment plans and/or financial assistance packages.


    • Records newly identified insurance plans and facilitate the account processing of new plan in accordance with pre-billing policies and procedures.


    • Records accurate and definitive notes in the electronic account file that depict the current status of account, issues with account and anticipated date of resolution.


    • Escalates account management to Customer Service Manager when extraordinary issues arise.


    • Obtains and records "Promise to Pay" amounts on a daily basis that are consistent with the cash collection goals of the department.

    • Performs other duties as assigned.

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