Located in the heart of the Coachella Valley, you have access to resort-style living and world-class amenities throughout Southern California.
Job Objective:
Engaged in activities relating to the collection of payment and/or resolution of self-pay balance accounts.
Job Description:
Education:
Required: High school diploma, GED or higher level degree
Licensure/Certification:
N/A
Experience:
Preferred: Experience in a hospital and/or clinic setting; self-pay or insurance billing/collection experience or billing certification or course work
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.
Essential Skils:
- Written and verbal communication skills
- Ability to analyze data, read and interpret financial reports
- Understands financial and productivity standards to ensure sound fiscal management is consistent with the goals of EMC
- Able to develop and maintain interdepartmental relationships
- Decision making skills
- Knowledge of all phases of occupational therapy operations
- Knowledge of regulations regarding various governing agencies (CAP, JCAHO, OSHA, CLIA)
