Account Specialist
South Dakota State Government - Sioux Falls, SD

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Full-Time 80 hours per pay period, Days. Primarily concerned with the billing and collection of accounts receivable. Coordinates activities with third party agencies, insurance companies and patient. Engages in a program of follow-up on delinquent accounts. Responsible for the correct and accurate maintenance of records. Must have initiative, common sense and the ability to use discretion and independent judgment in making decisions in varied situations as it relates to patient accounts. Must be firm in a courteous and tactful manner in dealing with patients. Does follow-up on the Accounts Receivable Aging Analysis to make sure all accounts are being worked. Handles the calls from patients or responsible parties of accounts. Also, handles calls from individuals who may be entering the hospital at a future date. Responsible for all follow-up in connection with the collection of account balances due. This will include contacts by telephone with insurance companies and agents, other departments of the hospital, patients, etc. Collection notes will be reviewed at appropriate time intervals for determination of further collection action. This action may include telephone contact or computer generated collection letters. Maintenance of accurate information within the computer system to enable others to determine where the account is within the collection process. Will handle incoming telephone inquiries and incoming mail on all accounts within their responsibility. This will include the writing and typing of correspondence in answer to these inquiries. Will review accounts and determine when all collection efforts by the hospital have been exhausted and then refer the unpaid account on for further collection action with the collection agency. Will work closely with the collection agency in the correlation of the information to enable the collection agency to correctly deal with the accounts. 70 to 85 percent of the work day will be spent on the phone either receiving calls, or making collection calls to patients, physicians, departments or insurance companies.
Must be able to work with growth and development needs of unique client populations. Strong communication skills. Must be able to utilize all office equipment including personal computer and application software, printer, FAX, copier, multi-line telephone system. Excellent written and oral communication skills, including English usage, grammar, punctuation, and style. Ability to use appropriate reference materials. Ability to multi-task. Must know the Fair Debt and Collection laws. Must have good working knowledge of submission of claims for all payors. Must be able to manually calculate patient portion based on insurance benefits, though the system will calculate the same information. Must have good working knowledge of all collection policies set forth by the Accounts Receivable department. Tact and courtesy in dealing with patients. Cooperation with other workers. Memory for detail. Considerable initiative and judgment involved in estimating credit risks, devising plans for payment and collecting delinquent accounts. Familiarity with Data Processing capabilities and procedures is necessary. Must possess problem solving skills, as well as the ability to work and communicate effectively with other department supervisors and management. Must be of sound character.
When students are providing patient care, treatment, and/or services as a part of their training, any/all employees may be asked to supervise the students.
Required Skills
Minimum of high school education, however, some trade course classes in accounting, business and communications would be very helpful in this position. Previous experience in medical billing preferred. Computer skills essential.

South Dakota Department of Labor and Regulation - 20 months ago - save job
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Governor Dennis Daugaard's goal is to create a culture in state government centered around serving the citizens, the voters and the...