Revenue Cycle Collection Specialist

REMOTE:REVENUE CYCLE COLLECTION SPECIALIST

Job Summary:

The Revenue Cycle Collection Specialist will analyze financial information to determine patient ability to pay or qualification for financial assistance; analyze balances in order to determine appropriate action. Position is also responsible to: Utilize available resources to obtain eligibility information; update patient demographic and financial information; communicate with staff, patients and payers, as required to obtain or verify billing information or payment; answer questions, resolve concerns and document specific actions taken on individual accounts in the billing systems. This position will also be responsible for insurance collections and patient payment posting. This position is responsible for considering the status of the entire patient account and for exercising judgment to determine appropriate course of action to bring account to resolution.

DUTIES, RESPONSIBILITIES, & ESSENTIAL JOB FUNCTIONS - qualified individuals must have the ability (with or without reasonable accommodation) to perform the following duties:

Essential Functions:

• Job Type: Full Time; hours determined by Facility Analyze and take appropriate action on unresolved accounts, including payer denials.
• Evaluate patients' financial information to determine their ability to make payments or qualify for financial assistance, adhering to the Medical Centers' Financial Assistance Policy.
• This may involve setting up suitable payment plans Review credit balance accounts and implement necessary actions.
• Meet deadlines and adhere to departmental quality and performance standards. Generate weekly, monthly, and quarterly patient Accounts Receivable (AR) reports.
• Serve as a financial counselor during intake, discussing insurance and financial obligations with patients upon admission.
• Update patient demographic, financial, and payer information in applicable systems.
• Communicate with staff, patients, and third-party payers as necessary to verify billing information, process payments, and address inquiries or concerns. Assess the status of entire patient accounts and exercise judgment to determine the appropriate resolution. Conduct skip tracing for returned mail accounts.
• Analyze accounts of bankrupt or deceased patients.
• Maintain spreadsheets and prepare original correspondence using Microsoft Excel and Word. Evaluate patient accounts to ensure accurate reimbursement based on payer contracts.
• Assist with insurance collections as needed. Update accounts and accurate note taking for both insurance AR and patient AR.
• Post patient payments into corresponding systems. Positively promotes current organization to prospective clients and employees.

Non- Essential Functions:

• Performs other duties as assigned.
• Professional Requirements: Complete annual education requirements, if applicable Maintains standards of professional society procedures and ethical behavior.
• Maintain client confidentiality at all times.
• Report to work on time and as scheduled.
• Participate in performance improvement and continuous quality improvement activities.

Professional Requirements:

• Complete annual education requirements, if applicable Maintains standards of professional society procedures and ethical behavior.
• Maintain client confidentiality at all times.
• Report to work on time and as scheduled.
• Participate in performance improvement and continuous quality improvement activities.
• Represent the organization in a positive and professional manner at all times.
• Communicate the mission, ethics and goals of the organization.

Qualifications:

• High School graduation or equivalent.
• Two years of experience in patient accounting, customer service, or a related office environment OR Equivalent education/experience.

Competencies - Knowledge, Skills, and Abilities:

• Knowledge of UB, CMS 1500 and other utilized billing forms and payer requirements.
• Knowledge of KIPU and CollaborateMD Billing and/or Professional Billing, and registration systems.

Physical Requirements and Environmental Conditions:

• Ability to lift up to 25 pounds.
• Ability to walk up and down stairs during emergency drills or situations

EEO Statement

All BLR subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. BLR subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success.