Welcome to Piedmont Cancer Institute - not just a workplace, but a partner in patient care.
Piedmont Cancer Institute ("PCI") has served patients in the Atlanta area for over 36 years. We currently have 20 APPs and 17 physicians and 5 locations serving the greater Atlanta area and we are growing.
At PCI, we strive to deliver the best possible comprehensive patient care, using leading-edge cancer therapies, dedication to excellence and compassion in care.
Regardless of your profession, you will find more than a job at PCI. You will find a meaningful career.
Why Join Us? We are looking for talented and highly-motivated individuals who demonstrate a natural desire to support the meaningful work of community oncologists and the patients we serve.
Job Description :
Piedmont Cancer Institute is currently seeking qualified candidates to fill the position of Patient Account Representative (PAR) / Collector for our Central Business Office in Atlanta.
The PAR / Collector is responsible for conducting patient and insurance account collections as it relates to all aspects of A / R follow-up including, but not limited to, denial management, complete claim resolution, insurance follow-up, and patient balance collections. The successful candidate will be flexible and able to multi-task in a fast-paced, high-volume setting. Prior experience in a Healthcare / Managed Care environment is crucial for success in this role. This position is located at our Central Business Office in Atlanta and reports to the PAR / Collector Team Lead and Revenue Cycle Manager.
Primary Job Functions
- Conducts prompt and efficient collections efforts on all aging balances including patient and insurance A / R with an emphasis on decreasing A / R >
90 days.
Recognize and report on trending payment issues and denials and must be able to take the appropriate action to resolve such issues.Research and resolve denied and unpaid claims from various insurance companies using multiple resources such as payer websites, requesting telephonic reconsiderations, writing appeals, etc.Maintain knowledge of and ensure compliance with state and federal laws, regulations for Medicare, Medicaid, managed care and other third-party payers.Work with billing teams to solve difficult payment and associated department problems including claims processing and billing issues across the revenue cycle.Proactively participates in problem identification and coordinates resolutions between appropriate parties.Reviews and reports any missed revenue opportunities.Notifies Team Lead and Revenue Cycle Manager of any system, payer, or operation issue that affects daily collections and patient account functions.Qualifications
High school diploma (or equivalent) is required. Collegiate education preferred.Demonstrated knowledge of Healthcare reimbursement / collections, medical billing, CPT, HCPCs, and ICD10 coding, financial reporting, and management, with a strong knowledge of the collections process. Prior healthcare insurance follow-up / collections experience is a must.Advanced technical skills including PC and MS ExcelAdvanced knowledge of HCFA and Explanation of Benefits (EOB) interpretationAdvanced knowledge of insurance billing, collections, and insurance terminologyOncology experience preferred, however, not required.Strong communications skills; ability to listen attentively and to communicate information clearly and effectivelyCustomer service experience and the ability to work independently are required.Must be able to sit 8 hours / day. Work may be stressful at times. Exposed to general indoor working conditions.Key Performance Indications
Days in Accounts Receivable - Your total receivables / credit balance compared to your average daily gross charges - ≤30 days DSOA / R greater than 90 days - Percentage of long-term A / R of your total receivables - ≤12%Denial rate - Percentage of total claims denied as a percentage of total claims submitted - ≤8 %Demonstrate timely collection efforts on all claims within assigned cope; working all claims at a minimum of once / month and high dollar accounts at least biweekly.Work an average of 40 accounts per day.Participate actively in weekly / monthly status discussions with the Collector Team Lead and Revenue Cycle ManagerJob Type : Full-time
Pay : From $22.00 per hour
Benefits :
401(k)401(k) matchingDental insuranceDisability insuranceEmployee discountFlexible spending accountHealth insuranceLife insurancePaid time offVision insuranceSchedule :
8 hour shiftMonday to FridayAbility to Relocate :
Atlanta, GA 30309 : Relocate before starting work (Required)Work Location : In person
Salary : $22
