What are the responsibilities and job description for the Patient Accounts Collections Specialist position at Jupiter Medical Center?
Ranked #1 for Safety, Quality and Patient Satisfaction, Jupiter Medical Center is the leading destination for world-class health care in Palm Beach County and the greater Treasure Coast.
Outstanding physicians, state-of-the-art facilities, innovative techniques and a commitment to serving the community enables Jupiter Medical Center to meet a broad range of patient needs. Jupiter Medical Center is the only hospital in Palm Beach, Martin, St. Lucie and Indian River counties to receive a 4-star quality and safety rating from the Centers for Medicare & Medicaid Services (CMS).
Education: High School Graduate or Equivalent. College level course work preferred
Experience / Qualifications: Three-five years of professional business office experience that includes Collections. Computer proficiency required. Excellent oral, written, and interpersonal skills. Knowledge of Medicare, Medicaid, managed care contracts, other government payers, and commercial insurance plans. Must have demonstrated ability to work independently in a fast-paced environment toward a designated goal, in an efficient/effective manner with minimal supervision. Requires knowledge of industry language, good computer skills with proficiency in windows applications and software (word and excel). Involves daily contact with insurance companies and/or patients, by writing, telephone, via computer programs and/or in person within an office environment. Must possess heighten degree of attention to detail and ability to multitask within a fast-paced result orientated environment.
Mathematical ability and analytical skills required. Knowledge of Government and Third-Party Payer Regulations and Standards. Working knowledge of eClinicalworks application.
Position Summary
The Patient Accounts Collections Specialist ensures the coordination of collection activities for designated accounts, leading to the timely reimbursement of receivables using available resources including internal/external databases, payer portals/websites, and telephone. Determines and initiates appropriate action to resolve denied/rejected invoices and prepares payer corrections and/or appeals in accordance with payer plan requirements using electronic and paper processes. Keeps Collection Lead, and/or PFS Manager informed of any potential trending negative account(s) impact. Participate in testing scenarios for various system upgrades and/or new system implementations when necessary.
Knowledge of CMS 1500 guidelines, revenue code usage, contractual adjustments, payment transactions, and credit balance resolution. Able to train and assist other Collection Patient Account Specialist(s). Strong ability to troubleshoot and problem solve. Maintain positive relationship with the other hospital departments. Performs other duties as assigned.
Team Member Competencies
Establishing Relationships
Builds effective networks, working relationships, and alliances in order to collaborate effectively within department and organization. Can relate to all kinds of people regardless of background; find topics and common interests that can be used to build rapport with others.
Peer Support
Provides guidance and feedback to help others strengthen knowledge/skills needed to accomplish tasks, solve problems, and perform effectively within the team.
Inspiring and Motivating Others
Fosters commitment and cohesiveness by facilitating cooperation and working as a team within the organization toward goal accomplishments. Work well with others, build consensus, and ensure cooperation to complete tasks and positive workflow.
Demonstrating Emotional Intelligence
Exercises self-leadership, self-awareness, and self-regulation; manages emotions so that they are expressed appropriately; leads others by showcasing adaptability, empathy, and social skills.
Acting with Integrity
Interacts with others in a way that is seen as direct and truthful; ensures confidence in individual and organizational motives and representations. Acts in a way that is consistent with personal and organizational values by keeping confidence, promises, and commitments. Clearly states goals and beliefs; informs people of their true intentions, does what they say they will do; follows through on commitments.
Being a Champion for Change and Innovation
Supports people in their efforts to try new things. Things creatively, generates novel and valuable ideas and uses these ideas to develop new or improved processes. Accepts new ways of doing things and adapts to change.
Communicating Effectively
Speaks and writes clearly, conveys information in a concise, organized, and logical manner. Is adept at tailoring the message to fit the interests and needs of the audience. Listens attentively and exercises tact, discretion, and diplomacy when interacting with members of the department and organization.
Promoting Diversity and Inclusion
Treats all people with dignity and respect. Demonstrates an open-minded approach to understanding people regardless of their gender, age, race, national origin, religion, ethnicity, disability status, or other characteristics. Challenge’s bias and intolerance. Develops all-inclusive groups in the realms of social interaction and communication. Shows respect for the beliefs of others; encourages and promotes practices that support cultural diversity; discourages behaviors or practices that may be perceived as unfair, biased, or critical toward people with certain backgrounds.
Physical Requirements
Requires sitting for long periods of time, also stooping, bending, standing, and stretching. Must have manual dexterity for typing and computer data entry. Able to work under a stressful environment, work independently, capable of making sound decisions, be detail oriented, alert, and self-motivated. Ability to push/pull up to 40lbs., carry and lift up to 20lbs.
Threshold Requirements
These threshold requirements are required and completed yearly basis. Annual Joint Commission mandatory education requirements, in-service and health requirements including attendance at new employee orientation. TB/PPD Surveillance Program. Maintenance of required professional licensing and/or certification(s).
Outstanding physicians, state-of-the-art facilities, innovative techniques and a commitment to serving the community enables Jupiter Medical Center to meet a broad range of patient needs. Jupiter Medical Center is the only hospital in Palm Beach, Martin, St. Lucie and Indian River counties to receive a 4-star quality and safety rating from the Centers for Medicare & Medicaid Services (CMS).
Education: High School Graduate or Equivalent. College level course work preferred
Experience / Qualifications: Three-five years of professional business office experience that includes Collections. Computer proficiency required. Excellent oral, written, and interpersonal skills. Knowledge of Medicare, Medicaid, managed care contracts, other government payers, and commercial insurance plans. Must have demonstrated ability to work independently in a fast-paced environment toward a designated goal, in an efficient/effective manner with minimal supervision. Requires knowledge of industry language, good computer skills with proficiency in windows applications and software (word and excel). Involves daily contact with insurance companies and/or patients, by writing, telephone, via computer programs and/or in person within an office environment. Must possess heighten degree of attention to detail and ability to multitask within a fast-paced result orientated environment.
Mathematical ability and analytical skills required. Knowledge of Government and Third-Party Payer Regulations and Standards. Working knowledge of eClinicalworks application.
Position Summary
The Patient Accounts Collections Specialist ensures the coordination of collection activities for designated accounts, leading to the timely reimbursement of receivables using available resources including internal/external databases, payer portals/websites, and telephone. Determines and initiates appropriate action to resolve denied/rejected invoices and prepares payer corrections and/or appeals in accordance with payer plan requirements using electronic and paper processes. Keeps Collection Lead, and/or PFS Manager informed of any potential trending negative account(s) impact. Participate in testing scenarios for various system upgrades and/or new system implementations when necessary.
Knowledge of CMS 1500 guidelines, revenue code usage, contractual adjustments, payment transactions, and credit balance resolution. Able to train and assist other Collection Patient Account Specialist(s). Strong ability to troubleshoot and problem solve. Maintain positive relationship with the other hospital departments. Performs other duties as assigned.
Team Member Competencies
Establishing Relationships
Builds effective networks, working relationships, and alliances in order to collaborate effectively within department and organization. Can relate to all kinds of people regardless of background; find topics and common interests that can be used to build rapport with others.
Peer Support
Provides guidance and feedback to help others strengthen knowledge/skills needed to accomplish tasks, solve problems, and perform effectively within the team.
Inspiring and Motivating Others
Fosters commitment and cohesiveness by facilitating cooperation and working as a team within the organization toward goal accomplishments. Work well with others, build consensus, and ensure cooperation to complete tasks and positive workflow.
Demonstrating Emotional Intelligence
Exercises self-leadership, self-awareness, and self-regulation; manages emotions so that they are expressed appropriately; leads others by showcasing adaptability, empathy, and social skills.
Acting with Integrity
Interacts with others in a way that is seen as direct and truthful; ensures confidence in individual and organizational motives and representations. Acts in a way that is consistent with personal and organizational values by keeping confidence, promises, and commitments. Clearly states goals and beliefs; informs people of their true intentions, does what they say they will do; follows through on commitments.
Being a Champion for Change and Innovation
Supports people in their efforts to try new things. Things creatively, generates novel and valuable ideas and uses these ideas to develop new or improved processes. Accepts new ways of doing things and adapts to change.
Communicating Effectively
Speaks and writes clearly, conveys information in a concise, organized, and logical manner. Is adept at tailoring the message to fit the interests and needs of the audience. Listens attentively and exercises tact, discretion, and diplomacy when interacting with members of the department and organization.
Promoting Diversity and Inclusion
Treats all people with dignity and respect. Demonstrates an open-minded approach to understanding people regardless of their gender, age, race, national origin, religion, ethnicity, disability status, or other characteristics. Challenge’s bias and intolerance. Develops all-inclusive groups in the realms of social interaction and communication. Shows respect for the beliefs of others; encourages and promotes practices that support cultural diversity; discourages behaviors or practices that may be perceived as unfair, biased, or critical toward people with certain backgrounds.
Physical Requirements
Requires sitting for long periods of time, also stooping, bending, standing, and stretching. Must have manual dexterity for typing and computer data entry. Able to work under a stressful environment, work independently, capable of making sound decisions, be detail oriented, alert, and self-motivated. Ability to push/pull up to 40lbs., carry and lift up to 20lbs.
Threshold Requirements
These threshold requirements are required and completed yearly basis. Annual Joint Commission mandatory education requirements, in-service and health requirements including attendance at new employee orientation. TB/PPD Surveillance Program. Maintenance of required professional licensing and/or certification(s).
