What are the responsibilities and job description for the Patient Account Specialist I position at KPC GLOBAL MEDICAL CENTERS INC.?
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SUMMARY
The Collection Specialist is responsible for aggressively working the activity for assigned
accounts ensuring payment and/or resolution of outstanding account balances. He/She
communicates with patients and third party agencies to assist in the resolution of outstanding
account balances, completes and maintains timely, accurate reports of account activity, as well
as responds to incoming calls and mail from patients and third party agencies regarding
outstanding account balances.
REQUIREMENTS
- High school diploma or equivalent required
- Minimum of two years’ experience with third party reimbursement requirements
- Ability to work independently and prioritize responsibilities
- Must be able to organize, have time management skills
- Must be able to read, write, and speak English, as well as possess good verbal and
communications skills
DUTIES AND RESPONSIBILITIES
- Receives incoming phone calls/mail from patients and third parties assisting in the
resolution of accounts receivable.
- Properly performs and utilizes Meditech financial modules and any applicable systems
required.
- Reviews reports of outstanding accounts to determine appropriate next actions
required to obtain payment for outstanding balances.
- Aggressively works patient accounts and/or third party bills necessary for collection of
outstanding balances.
- Update patient accounts, as appropriate, to prompt next actions and document all
activity.
- Works intra and inter- departmentally to ensure cost effective utilization.
- Assists patients in making payment arrangements.
- Receives and answers inquiries from patients, insurance companies, Medicare or other
parties regarding billing.
- Makes recommendations for the resolution of account balances; i.e., flat rate
adjustment, write-off, charity referral, etc.
- Works cooperatively with other department staff to determine appropriate course of
action to assist patients with the resolution of outstanding account balances.
- Maintains account information pertinent to collection activity on all accounts,
admissions and referrals.
- Reviews all billing for completeness and accuracy.
- Promotes environmental and patient safety:
o Makes provision for a clean, organized environment
o Constantly observes for unsafe conditions
o Reports safety issues in a timely manner
o Has knowledge of general safety, department and service safety, and specific
job hazardous
o Demonstrates proper body mechanics in all functions
- Promotes efficient use of departmental supplies and equipment:
o Ensures equipment is in good working order
o Reports equipment problems to appropriate personnel promptly
