PromptCare

Collections

• Ensure timely and accurate submission of patient statements
• Ensure proper follow-up is performed on all outstanding balances
• Evaluate eligibility for Copay Assistance & Hardship Program and identify possible funding sources
• Follow internal and external policies and procedures
• Escalate problems as necessary to ensure timely resolution
• Ensure balances that are billed to a patient are appropriate by reviewing the primary payer EOB and other account information as necessary
• Maintain the patient billing phone line and answer and respond to patient questions and concerns in a timely manner
• Submissions & Collections of Copay Assistance Payor accounts for assigned payers
• Re-enroll patients yearly for Copay Assistance and Hardship Programs
• Additional duties as assigned

Co-Pay Assistance Collections Specialist

Manager

• Lead the development, implementation, and maintenance of reimbursement strategies and programs
• Monitor changes in reimbursement regulations, trends, and technologies
• Develop and monitor reimbursement budgets and goals
• Analyze reimbursement data to identify areas of improvement
• Facilitate the resolution of reimbursement issues between payers and providers
• Develop and maintain relationships with insurance companies, managed care organizations, and other payers
• Collaborate with other departments to ensure accurate and timely reimbursement
• Develop policies and procedures to ensure compliance with all applicable reimbursement regulations and contractual requirements
• Other duties as assigned

Reimbursement Manager

Auditor

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