Billings and Collections Representative (1076701)

Location: Portland, OR

Salary: $21.00 USD Hourly - $30.00 USD Hourly

Description: Our client is currently seeking a Billings and Collections Representative

Overview: The Self Pay Specialist plays a crucial role in achieving service delivery, performance standards, and financial targets. This position focuses on resolving large balance accounts, re-establishing defaulted payment plans, and minimizing accounts written off to internal bad debt.

Key Responsibilities

• Account Resolution: Effectively resolve large balance accounts and re-establish defaulted payment plans.
• Skip Tracing: Utilize skip tracing techniques to optimize account resolution opportunities.
• Exception Handling: Resolve exceptions to ensure proper account flow through the self-pay process.
• Precollect Inventory: Work on precollect inventory to minimize bad debt referrals to third-party collection agencies.
• Customer Experience: Ensure a positive customer experience for patients while resolving accounts in a timely manner.
• Monitoring: Oversee service levels, Quality Assurance, and Workforce Management.
• Outbound Calls: Make outbound calls to request payment, negotiate payment plans, and utilize other account resolution methods while meeting call quality standards.
• Charity and Collection Activity: Ensure timely and accurate charity and collection activities, aligned with company Mission and Core Values.
• Coordination: Send specialized letters to coordinate information between patients and insurance companies for claim payments.
• Financial Assistance: Review accounts and prescreen patients for potential financial assistance discounts.
• Bad Debt Accounts: Assess potential bad debt accounts for suitability for outside collection efforts or final resolution.
• Billing Issues: Analyze billing issues and patient questions to determine the next course of action.
• Complaint Resolution: Log and resolve lower-level patient complaints and refer complex complaints to Customer Care Coordinators.
• Payment Discrepancies: Research payment discrepancies and coordinate appropriate corrections.
• Adjustments: Request adjustments in line with company guidelines and approval authority limits.
• Reporting: Report recurring problems and maintain accurate account information in the primary system.
• Confidentiality: Maintain confidentiality of all patient demographic, medical, and financial information, adhering to HIPAA rules and regulations.
• Compliance: Comply with all applicable laws, regulations, and company policies in all aspects of job performance.
  
  

Key Metrics

• Correct application of Customer Support policies and procedures.
• Meeting customer support standards.
• Achieving work performance standards and account resolution targets.
• Meeting established collection goals.
  
  

Additional Information

• Patient Contact: This role requires access to patients or entry into facilities where patients are present.
• Local Resource: Yes, a local resource is required.
• Extended Job Details: Other duties may be assigned and considered essential functions of the position.
• Language Fluency: Caregivers must be fluent in English to perform essential functions satisfactorily.
• Mission and Values: Caregivers are expected to honor the Mission, Values, Vision, and Promise, and adhere to the Code of Conduct, policies, and standards of the organization.
• Direct Patient Care Roles: Perform and maintain essential competencies as required by the specific area of hire and populations served.
  
  

Contact: aflores@judge.com

This job and many more are available through The Judge Group. Find us on the web at www.judge.com