Description Under supervision of a manager, responsible for ensuring collection of assigned patient accounts with the goal of providing patient-focused customer service and meeting targeted billing cycles for the purpose of achieving the departmental goal of ensuring maximum revenue and cash flow benefit to the hospital.
Work requires ability to read documentation on commercial insurance, industrial accidents and other public welfare programs; to follow detailed procedures; to perform mathematical calculations; and to communicate effectively orally and in writing; at a level generally acquired through completion of a high school education.
Work requires knowledge of the collection process, including federal and state collection laws, legal collection practices and payment techniques; of pay classes such as Medicare, insurance carriers and self-payors; of third-party payor reimbursement agreements; and of departmental policies and procedures at a level generally acquired through six to nine months on-the-job training or experience in billing and/or collecting, preferable in a healthcare environment.
Work requires the ability to verify information; to enter and retrieve information from systems including hospital billing, Blue Cross PTN, Medicare PC, etc.; to identify and resolve problems; and to interview patient and develop payment plans for patients with delinquent accounts based on ability to pay.
Work requires interpersonal skills necessary to establish and maintain effective, cooperative working relationships with team members in order to promote open communication and team building; to demonstrate social sensitivity and provide patient-focused customer service when interacting with patients and their families; and to establish and maintain effective working relationships with other employees within the department and in other departments and with third-party payors.
Work requires the ability to pay close attention to details and concentrate for up to seventy-five percent of work day.