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.
Schedule is Monday – Friday, working 8:00am – 5:00pm
Compensation: $22.46 - $23.58 an hour
Golden Valley Health Centers offers excellent benefits including Medical: (0 Deductible / $2,000 Individual; $4,000 Family Out-of-Pocket Max), excellent PPO coverages; Dental; Vision; 403(b) with match, FSA plans, gym discounts, and so much more!
Essential Duties and Responsibilities
- Maintain confidentiality pertaining to patient care.
- Maintain telephone etiquette with patients, third parties, and public which reflect 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 successfully 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 work week.
- 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 limitation.
- 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 minimal work instruction.
- Assist in other job duties assigned.
Physical Demands
- Must be able to lift up to 40 pounds and push up to 100 pounds (on wheels).
- Must be able to hear staff on the phone and those who are served in-person, and speak clearly in order to communicate information to clients and staff.
- Must have vision with or without lenses that is adequate to read memos, a computer screen, personnel forms and clinical and administrative documents.
- Must have high manual dexterity.
- Must be able to reach above the shoulder level to work, must be able to bend, squat and sit, stand, stoop, crouching, reaching, kneeling, twisting/turning, fingering and feeling.
Work Environment
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. The noise level in the work environment is usually average.
Education/Experience 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