Professional Services Collector - Patient Financial Services RCSSDSan Diego, California
Schedule: Days, 8-hour shifts
FTE: Full-Time, 80 hours per 2 week pay period
Location: Copley Business Center
The Professional Billing Collector is responsible for collection of outstanding Self pay balances. The Collector is responsible for daily processing of self-pay accounts that appear in an assigned IS system work queue. This includes but is not limited to contacting patients with the goal of resolving unpaid balances on account, establishing payment plans and/or obtaining proper insurance information. Following RCHSD policies and procedures, performs financial screening of the patient guarantor to determine possible qualification for the Charity Care program. Reviews payor remittance codes from EOB-s and R/A-s to ensure accuracy of self-pay balance. Update patient demographic and insurance information in IS billing system, when required. The Collector refers all collection issues/problems to Leadership in a timely manner with specific examples. The Collector is responsible for complete, accurate, and timely documentation of all follow up activities pertaining to the resolution of the account within the IS system patient financial record. The Collector is responsible for researching patient address information on mail returns of patient statements. Research will include use of Accurint System and Chartmaxx, contacting other facilities and primary care physician office in order to obtain a correct mailing address.. Must meet productivity standards established by Sr Leadership. Must have the ability to perform complicated mathematical calculations to adjudicate accounts appropriately. Collector must be able to work professionally and courteously with patients, MPF PFS billing staff and leadership as well as all RCHSD departments. May be required to process outstanding accounts considered Bad Debt to an outside collection agency. May be required to process MPF Corporate Accounts.
3 years of medical billing experience
Prior collection experience
Knowledge of Collections Practices / Bad Debt
Medical Billing Knowledge
Basic Understanding of Insurances / COB / Terminology
Knowledge of proper Phone Etiquettes
Understands how to read EOBs
Ability to research and understand billing follow-up instead of sending to grievances without doing adequate research.
Well-rounded biller who can do all processes from A-Z, self-sufficient, and will be able to articulate to the family why they are getting a bill and able to answer questions without handing off non escalated calls to management.