Job Description

PURPOSE:

Patient Accounts Collector is a member of the Finance/Billing team who ensures that maximum reimbursement is obtained through coding, billing, and collection for all services rendered.

ESSENTIAL DUTIES & RESPONSIBILITIES:

• Maintain confidentiality in patient care.
• Maintain telephone etiquette with patients, third parties, and the public which reflects an image of dependability, competence, firmness, and politeness.
• Demonstrates cooperation/teamwork by participating in achieving team as well as departmental goals.
• Follow Department and Company Policies.
• Must complete front office certification training, i.e. Patient Registration, Insurance Billing Group, Patient Account Ledger, and Eligibility.
• Update and maintain patient demographic and billing record database.
• Demonstrate knowledge of Insurance Payer types, i.e. Financial Class and Insurance carriers.
• Demonstrates knowledge of proper coding and processing of in-coming Explanation of Benefits and Remittance Advice from payers
• Demonstrates good judgment and decision-making on claims follow-up.  Ability to process the required number of claims per workweek.
• Competently produces Open Aging items reports for follow-up on accounts balances over 120 days in Accounts Receivable.
• Competently corrects failed claims edits.  Demonstrates ability to re-open failed claims daily.
• Competently writes off account balances exceeding specific programs' bill limitations.
• Demonstrates ability to identify correct billing provider set-up in MegaView.
• Demonstrates ability to determine account credit balances and the proper correction process.
• Demonstrates ability to coordinate patient payment plans and follow-up.
• Demonstrates working knowledge of electronic claims submission and electronic remittance download.
• Demonstrates ability to act as trainer/mentor to Patient Account Representative and Patient Account Biller.
• Demonstrates self-motivation to work independently with a minimal work instruction.
• Assist in other job duties assigned.

EDUCATION & REQUIREMENTS:

• High School Diploma or GED
• Minimum 2 - 3 years experience in office/medical billing including at least 1 year of experience as a Patient Accounts Biller or equivalent
• Bilingual required in some positions

ADDITIONAL SKILLS:

• Knowledge of photocopy machines, fax machines, calculators, and computers.
• General knowledge of office procedures.
• Ability to communicate verbally and in writing.
• Ability to discuss financial matters with patients.
• General knowledge of Current Procedural Terminology (CPT)
• General knowledge of International Classification of Disease (ICD-9)
• Knowledge of Commercial, Medi-Cal, Medicare, and 3rd party billing and collection.