Responsible for continued follow-up on all assigned accounts in order to obtain high cash flow until the account is either paid/resolved, the work standard complete and the account can be referred to a collection agency or is deemed uncollectable.
Contacts patients, employer, insurance companies and government agencies either by telephone or mail in order to expedite payment.
Establishes effective working relationship with patients, collection agencies, vendors and internal departments to effectively resolve account issues.
Handles patient, internal department, third party agency, vendor requests/inquiries and complaints in regards to bad debt collection process.
Resolves patient complaints concerning billing and collection functions using good human relations skills and sound credit procedures.
Interprets insurance verification, billing, follow-up, collection and legal information provided for each patient account to accurately resolve patient questions and account issues.
Effectively documents all accounts in regard to why the account has been opened, process documentation and actions taken to resolve outstanding issues.
Handles the accounting of settlement offers, vendor remits, and cash posting issues related to bad debt accounts.
Responsible for learning, understanding, and performing actions in all patient billing systems, both past and present, to assure proper handling of all bad debt accounts.
Maintains the lowest possible ratio of bad debt expense write-off by employing good collection methods.
Maintains and reconciles records of placements to third party agencies.
Reconciles differences between bad debt balances and third party records.
Watches for trends in agency or patient billing issues and alerts management.
Requirements
High School Graduate
Typically requires 2 years of experience in insurance processing, collections, or customer service
Proficiency in Microsoft Office Suite and ability to quickly learn new systems and processes
Excellent oral and written communications skills
Proven negotiation skills
Ability to quickly review information and make decisions
Flexibility to work special projects and new job assignments as business needs dictate
Medical insurance billing, account, and/or legal process knowledge