Accounts Receivable Specialist II

Coastal Cancer Center is a patient centered practice employing a multitude of job positions that support the Grand Strand's largest and most established practice dedicated to being a leader in the treatment of blood disorders and cancer. Coastal Cancer Center seeks those that can fill these positions with their skills, experience and talent. Our employees fulfill the needs of our patients while fulfilling their need to give back to others. Whether your experience is clinical or clerical, all employees at Coastal Cancer Center are needed and valued.

Why Join Us? Our team values the work components of every member to create a culture of people helping people and making a difference in our lives and those we serve.

Job Description:

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following.

• Coordinate VA referrals and authorizations.

• Attend all Accounts Receivable staff meetings.

• Manage high levels of stress.

• Other duties as assigned.

Works closely with the Conway Patient Representative to do the following:

• Greet and consult with all patients regarding insurance coverage and balances owed,

• Verify insurance benefits and notify appropriate personnel of changes,

• Answer patients’ questions regarding statements and balances,

• Work Patient Accounts Receivable Reports in a timely fashion while being both accurate and thorough,

• Review daily schedule to prepare Daily Report,

• Help patients with assistance and Medicaid applications,

• Communicate with patients regarding their outstanding balances to avoid placement with a collection agency,

• Work consistently to reduce outstanding patient accounts receivable,

• Identify and report potential credit balances to Refund Specialist in accordance with refund policy,

• Maintain confidentiality in regard to patient account status and the financial affairs of the company,

• Prepare accounts for financial assistance and for review by Board of Directors.

Works closely with Drug Assistance Representative to do the following:

• Consult with new and established patients who need financial assistance and provides assistance with applications.

• Contact patients as they are approved for financial/drug assistance.

• Work Drug Assistance reports timely, accurately and thoroughly.

• Communicate with Patient Representatives or Location Supervisors regarding patients who need financial assistance.

• Review co-payment/co-insurance accounts and prepare explanations of benefits for submission to co-pay/co-insurance companies.

• Follow up on outstanding co-pay assistance payments in a timely and accurate manner.

• Post payments for patients receiving co-payment/co-insurance assistance.

• Maintain log for leftover medications.

• Maintain most up-to-date drug assistance/co-pay assistance applications and ensure they are used by appropriate staff.

• Identify problems with drug assistance in a timely manner and notify Accounts Receivable Coordinator.

• Maintain database of patients receiving assistance.

QUALIFICATIONS:

• Education: High School diploma, Associates' degree or bachelor's degree preferred
• Experience: Two (2) to three (3) years experience preferably in a health care organization. Working knowledge of medical terminology.

KNOWLEDGE:

• Knowledge of medical terminology.
• Knowledge of medical billing/collection practices.
• Knowledge of basic medical coding and third-party operating procedures and practices.
• Knowledge of grammar, spelling, and punctuation to type correspondence.

SKILLS:

• Skill in using computer programs and applications.
• Skill in using calculator.

ABILITIES:

• Ability to establish and maintain effective working relationships with patients, employees, and the public.
• Ability to make independent judgments and exercise discretion.
• Ability to project a pleasant and professional image.
• Ability to identify, analyze and solve problems.
• Ability to read, understand and follow oral and written instructions.
• Ability to maintain confidentiality of sensitive information.

COMPETENCIES:

• Diversity - Demonstrates knowledge of EEO policy; Shows respect and sensitivity for cultural differences; Educates others on the value of diversity; Promotes a harassment-free environment; Builds a diverse workforce.
• Ethics - Treats people with respect; Keeps commitments; Inspires the trust of others; Works with integrity and ethically; Upholds organizational values.
• Adaptability - Adapts to changes in the work environment; Manages competing demands; Changes approach or method to best fit the situation; Able to deal with frequent change, delays, or unexpected events.
• Dependability - Follows instructions, responds to management direction; Takes responsibility for own actions; Keeps commitments; Commits to long hours of work when necessary to reach goals; Completes tasks on time or notifies appropriate person with an alternate plan.
• Initiative - Volunteers readily; Undertakes self-development activities; Seeks increased responsibilities; Takes independent actions and calculated risks; Looks for and takes advantage of opportunities; Asks for and offers help when needed.
• Interpersonal Skills - Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to others' ideas and tries new things.
• Problem Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem solving situations; Uses reason even when dealing with emotional topics.
• Professionalism - Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments.
• Quality - Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality; Applies feedback to improve performance; Monitors own work to ensure quality.
• Quantity - Meets productivity standards; Completes work in timely manner; Strives to increase productivity; Works quickly.
• Safety and Security - Observes safety and security procedures; Determines appropriate action beyond guidelines; Reports potentially unsafe conditions; Uses equipment and materials properly.
• Strategic Thinking - Develops strategies to achieve organizational goals; Understands organization's strengths & weaknesses; Analyzes market and competition; Identifies external threats and opportunities; Adapts strategy to changing conditions.
• Teamwork - Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Able to build morale and group commitments to goals and objectives; Supports everyone's efforts to succeed.
• Written Communication - Writes clearly and informatively; Edits work for spelling and grammar; Varies writing style to meet needs; Presents numerical data effectively; Able to read and interpret written information.

PHYSICAL DEMANDS AND WORK ENVIRONMENT:

• Frequently required to stand
• Frequently required to walk
• Continually required to sit
• Continually required to utilize hand and finger dexterity
• Occasionally required to climb, balance, bend, stoop, kneel or crawl
• Continually required to talk or hear

• While performing the duties of this job, the noise level in the work environment is usually moderate. Exposure to normal business office sounds and equipment.
• The employee must occasionally lift and /or move more than 25 pounds / frequently lift and/or move up to 10 pounds.
• Specific vision abilities required by this job include: Close vision; Distance vision; Color vision; Peripheral vision; Depth perception and ability to adjust focus.