Description: Position Overview:
Collects and recovers the payment from patients and insurance companies for delinquent hospital/medical patient accounts. Initiates outbound calls that potentially lead to successful payment or timely arrangement to satisfy delinquent accounts. Talks with payers, such as commercial insurance, Medicare, and Medicaid, to resolve problems and gather additional information needed to collect debt. Works with customers to find and arrange collection solutions. Ensures billing is complete and accurate.
Minimum Qualifications & Experience:
2-3 year's experience performing medical billing functions
Special Qualifications/Certifications Required:
Knowledge in Professional Billing, EPIC software and multiple payers.
Position Summary:
Receives and reviews past due bills and follow-up documents for large balance accounts. Contacts patients, guarantors and/or third-party organizations to secure payments or arrange alternative settlement plans. Prepares and maintains collection related records and reports.
Essential Functions:
Contacts patients/guarantors or third-party representatives by telephone, correspondence and
meetings to resolve outstanding large balances in accordance with departmental follow-up procedures.
Responds to correspondence and calls forwarded from the customer service unit.
Investigates and/or ensures that questions and requests for information are responded to in a timely and professional manner to ensure resolution of outstanding accounts.
Works with other outside services to develop and monitor reimbursement.
Analyzes accounts and determines when accounts are uncollectable. Prepares write-off recommendations in accordance with established departmental policies and procedures.
Maintains record of account activity and actions taken to effect collection.
Documents accurate data (such as cash, adjustments, write-offs, etc.) for management reports.
Maintains volume and productivity information and prepares daily and weekly productivity statistics for management review.
Updates account receivable with appropriate transactions to reflect current billing and/or collection status.
Maintains professional growth and development and keeps abreast of latest trends in area of expertise. Maintains current knowledge of collection policies and procedures and related legislation.
Maintains a positive customer service image when dealing with department personnel, patients, physicians, insurance companies and other Client employees.
Follows established Client and department policies, procedures, objectives, performance improvement,
attendance, safety, environmental, and infection control guidelines, including adherence to the workplace Code of Conduct and Compliance Plan. Practices a high level of integrity and honesty in maintaining confidentiality.
Performs other related duties as assigned or requested.
The following shared, organization-wide competencies describe the desired behaviors that will facilitate success at Client:
Communication -
Expresses ideas clearly and constructively (written and spoken, upward and downward, one-on-one and with groups).
Customer Service -
Seeks to understand customer needs and works to exceed customer expectations (internal and external).
Initiative -
Looks for opportunities to improve performance; manages time, work, and relationships effectively and efficiently.
Professionalism -
Treats others with respect; abides by the institutional values; displays a positive and cooperative attitude; adheres to the workplace Code of Conduct and compliance policies.
Stewardship -
Identifies efficiencies to reduce redundancy and/or elimination of tasks resulting in savings of cost, resources, and or/time.
Teamwork -
Works proactively and collaboratively with others to streamline work and achieve mutual goals
Position Qualifications:
Minimum Education :
High School or equivalent
Experience may substitute for minimum education requirements.
Minimum Experience:
2-3 years collections experience including prior experience in health care.
Required Courses/Training Working knowledge and understanding of laws governing collection practices.
Strong knowledge of 3rd party/government billing/collection and reimbursement requirements.
Working knowledge of insurance and medical terminology.
Preferred Courses/Training Medical terminology. ICD-9, CPT-4 & HCPCS coding.
Software SMS Invision - A2K/FMS/Signature, preferred
Windows, preferred
MDX, Super Qube, preferred
Word Processing preferred
As an equal opportunity employer, ICONMA provides an employment environment that supports and encourages the abilities of all persons without regard to race, color, religion, gender, sexual orientation, gender identity or express, ethnicity, national origin, age, disability status, political affiliation, genetics, marital status, protected veteran status, or any other characteristic protected by federal, state, or local laws.