Accounts Receivable Specialist - Private Pay Collections

Rebound is looking for a full-time Accounts Receivable Specialist for our Ambulatory Surgery Center. The Accounts Receivable Specialist will have the primary responsibility of collecting patient balances but will also understand the process of resolving insurance claims. The responsibilities of this position include all functions necessary to insure that patient accounts are managed consistently and effectively. All collectors may be asked to perform other tasks as required.

MAJOR DUTIES AND RESPONSIBILITIES:

• Support an environment that reinforces Rebound’s mission and Core Values of Superior Service, Teamwork, Integrity, Innovation, Quality and Recognition.
• Patient Communication and Call Management; answer incoming patient phone calls in a professional manner, providing accurate information regarding account balances, payment options, and insurance coverage.
• Thoroughly review account details to address patient inquiries and resolve any issues.
• Document all interactions, ensuring clear communication with other AR specialists as needed. Respond to patient messages promptly to maintain smooth communication.
• Patient Estimates and Payment Collection; provide patients with accurate cost estimates prior to their procedures, ensuring they are fully informed about their financial responsibilities.
• Discuss and review fees, explain insurance benefits, and calculate any personal balances.
• Determine the method of payment and negotiate payment arrangements, including offering payment plans when applicable.
• Initiate the collection of deposits at the time of service, ensuring payments are processed upfront whenever possible.
• Insurance Verification and Claims Management; review patient insurance benefits and calculate patient responsibility, ensuring all charges are correct.
• Stay current with insurance contracts and claims processing to accurately determine balances.
• Manage MVA accounts by billing and contacting claim managers to verify claims and available PIP coverage.
• Identify any discrepancies in insurance claims processing and work to resolve them efficiently.
• Debt Collection and Compliance; maintain awareness of current debt collection regulations and apply ethical practices in accordance with Surgery Center policies.
• Ensure adherence to the No Surprise Billing Act when interacting with patients.
• Demonstrate empathy and professionalism when working with patients experiencing health or financial difficulties, striving to find solutions that benefit both the patient and the organization.
• Account Management and Collections; Monitor and manage patient accounts, ensuring that AR over 120 days remains under 20% annually.
• Review accounts on a regular basis, setting up payment agreements as needed.
• Send past-due and final notices in accordance with Surgery Center policy.
• Make collection calls and assign accounts to collection agencies as required by policy.
• Monitor the Collection Queue to ensure timely follow-up on overdue accounts.
• Payment Processing and Miscellaneous Duties; post patient charges and payments accurately, ensuring all financial transactions are processed efficiently.
• Handle credit card payments and patient refunds in a timely manner.
• Perform additional data entry tasks, document scanning, and other administrative duties as assigned to support the team and maintain operational efficiency.
• Maintain a high degree of confidentiality and abide by all HIPAA rules and regulations.
• Perform other duties as assigned.

PERFORMANCE REQUIREMENTS:

• Education: High school graduate or equivalent required. College level accounting or business courses preferred. Additional appropriate education may be substituted for patient service experience or an equivalent combination of education, training and/or experience.
• Experience: Minimum of two years experience in a healthcare related field, physician’s office, hospital or clinic. Experience in the field of collections, customer service, and insurance billing and reimbursement preferred. CPT/ICD10 coding experience.
• Knowledge, Skills & Abilities: Knowledge of insurance billing procedures, collection laws, and medical terminology preferred. Excellent communication and public relations skills, both verbal and written. Ability to work both independently and interdependently with staff and team members with limited supervision. Excellent problem solving and critical thinking skills. Proficient use of computers including MS Office applications. Must demonstrate an understanding of the principles of service excellence and be able to maintain a professional demeanor and customer service orientation under busy and difficult situations.

TYPICAL PHYSICAL DEMANDS: Sitting for 90% of the working shift hours. Frequent typing/keyboarding to enter data into computer system. 100% visual demand to read paperwork and perform data entry. Frequent listening to place phone calls to patients and interact by phone with patients. Regular bending, twisting and squatting to retrieve from and return files to storage cabinets. Frequent walking to and from buildings.

TYPICAL WORKING CONDITIONS: Work is primarily performed in an office environment. Occasional exposure to communicable diseases, toxic substances, ionizing radiation, medicinal preparations and other conditions common to a clinic environment.

We are Proud to Offer:

• Medical/Vision/Rx
• Dental
• 401(K) Retirement Plan, including discretionary profit sharing and Cash Balance Plan
• Company paid Life Insurance/AD&D
• Voluntary Life insurance/AD&D
• Company paid short and long-term disability
• Flexible Spending and Health Saving Accounts
• Employee Assistance Program
• Free Parking
• Paid Time Off accrued at up to 24 days in your first year based on FTE

This is a great opportunity to work in a quality organization with Top Doctors in the Northwest. At Rebound, our goal is to cultivate an organization that offers superior patient-centered medical care, with mutual respect and cooperation in a positive and supportive environment. Come join our team!