Ensures maximum and timely collection of health system receivable from those who have the ability to pay and/or by identifying insurance or program coverage for which patients or families qualify. This is accomplished through insurance and program benefit exploration, financial education, patient meetings and outbound telephone contacts and discussions, financial clearance, and patient responsibility collection. Assists those with limited resources in identifying and applying for assistance programs. Serves as a primary source of information to patients and a resource for issue resolution through the Customer Service line and the main point of contact for all patients post-service.
Requirements:- Minimum of two years of experience in medical billing and follow-up and/or patient collections.
- Knowledge and understanding of managed care payer rules and patient collection laws.
- Basic medical terminology skills necessary to read and interpret various clinical documentation, including having a basic understanding of procedure and diagnosis coding convention.
- Excellent oral and written communication skills.
- Excellent conflict management and negotiation skills.
- Mature, compassionate, customer-focused attitude and professional demeanor while dealing with patients, families, other external customers and vendors, coworkers, and other internal customers.
- Strong computer skills, including but not limited to hospital billing software, Microsoft Office applications.
- Excellent organization and time management skills, and the ability to effectively establish priorities.
- Fully knowledgeable of and conducts all activities in accordance with regulatory compliance requirements, including but not limited to HIPAA rules and regulations, Medicare Secondary Payer Screening requirements, and billing and coding compliance rules and regulations.
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