What are the responsibilities and job description for the Collector Account Representative position at UHS?
We are seeking a Biller/Collector to join our growing team!
Day Shift
Via Linda Behavioral Hospital is an innovative behavioral health hospital offering a full continuum of inpatient and outpatient services to the people of Scottsdale and the greater Phoenix, Arizona metro area. Our 120-bed facility will offer specialized mental health services and substance use treatment for teens, adults and older adults experiencing issues such as depression, anxiety, personality disorders and co-occurring addictions.
Visit the site virtually and much more online at: vialindabehavioral.com
Full-time Employee Benefits include:
- Challenging and rewarding work environment
- Competitive Compensation & Generous Paid Time Off
- Excellent Medical, Dental, Vision and Prescription Drug Plans
- Life Insurance
- 401(K) with company match and discounted stock plan
- SoFi Student Loan Refinancing Program
- Career development opportunities within UHS and its 300 Subsidiaries!
- Tuition Assistance after 90 days of employment!
- Student Loan Forgiveness through AZ BHLRP
- More information is available on our Benefits Guest Website: benefits.uhsguest.com
Position Summary:
The Financial Counselor is responsible for verifying benefits and eligibility on admission inquiries, preparing financial folders, ensuring all demographics and patient information is correct in MS4. Collecting co-pays/deductibles from patients and collecting insurance payments, assisting with establishing effective and timely payment plans, coordinating with utilization review and discharge planning efforts limit risk of non-payment, providing ongoing patient benefit information, participating in patient discharge procedures, and coordinating financial arrangements with collecting personnel.
Qualifications
Job Requirements:
- High school graduate or equivalent required.
- Minimum of one (1) year experience in admission process and collections procedures, and a working knowledge of managed care; interpretation of insurance coverage plans, co-payments and deductible schedules and payment plans; and a working knowledge of computers and business software programs (Excel/Word) preferred.
- A minimum of one year experience in data entry.
- Must be proficient in 10-key and typing.
- Must have or able to obtain a Level 1 Fingerprint Clearance Card.
KNOWLEDGE/SKILLS:
- Knowledge of admissions processing/billing processes and procedures.
- Knowledge of insurance coverage, co-payments and deductibles.
- Knowledge of CPT codes and all code procedures.
- Knowledge of computers and business software, including Excel.
- Knowledge of managed care.
- Knowledge of payment planning and billing techniques.
- Skill in organizing and prioritizing workloads to meet deadlines.
- Skill in telephone etiquette and paging procedures.
- Effective oral and written communication skills.
- Ability to communicate effectively with patients and co-workers.
- Ability to adhere to safety policies and procedures.
- Ability to use good judgement and to maintain confidentiality of information.
- Ability to work as a team player.
- Ability to demonstrate tact, resourcefulness, patience and dedication.
- Ability to accept direction and adhere to policies and procedures.
- Ability to recognize the importance of adapting to the various patient age groups (adolescent, adult and geriatric).
- Ability to work in a fast-paced environment.
- Ability to meet corporate deadlines.
- Ability to react calmly and effectively in emergency situations.
PRIMARY RESPONSIBILITIES:
- Upon receipt of an intake inquiry form, verifies eligibility and benefits for all admissions.
- Communicate benefits information and co-payments to patients and families prior to admission.
- Obtain after-hours admission files from the I& R department each morning if not delivered, with any exceptions approved by the office management.
- Maintain ticker filing system for benefit expiration; and communicate on a daily basis with the Business Office Director.
- Ensure all pre-admission and admission calls and paperwork are addressed and completed in an accurate manner:
- Contact the appropriate agencies to obtain treatment authorization telephone numbers, reimbursement structure, and patient eligibility.
- Conduct a financial interview with the patient/ family prior to admission based on insurance verification, calculate the amount of deposit necessary and collect the deposit or makes arrangements for payment.
- Verify employment and insurance information.
- Complete the telephone profile of insurance benefits in a timely manner.
- Review required admission forms to insure they are completed accurately and appropriate signatures are obtained.
- Assign the correct financial class and adjust financial class required.
- Notify the appropriate facility management of any potential problems related to admission or payment.
- Obtain a deposit and explain benefits and financial obligations within 48 hours of admittance.
- Complete a demographic pre-certification if required.
- Complete the financial folder within one working day of admission, and schedule all critical dates for appropriate follow up;
- Provide financial folder to the appropriate facility management for review within one working day of admission.
- Ensure written confirmation of benefits and eligibility is sent to the primary and secondary insurance carrier, and scheduled for follow up.
- Provide financial counseling to patient and/or guardian or assigned responsible party:
- Contact patient or assigned contact within 48 hours to make payment arrangements and to obtain deposits if not done prior to admission, with all exceptions approved by Business Office Director.
- Serve as patient liaison between family or assigned parties, and business office staff.
- Obtain financial worksheet and income proof, as required, prior to discharge.
- Complete timely and effective payment arrangements prior to or upon discharge whenever possible.
- Participate in completing appropriate paperwork for patient discharge, and coordinate patient financial arrangements.
- Maintain all in-house accounts in a current and accurate manner;
- Review all in-house accounts and clearly documents the status of the file regarding all financial and legal issues. Complete all required information.
- Clearly document all activity occurring during the admission as it pertains to eligibility, benefits, reimbursement and required signatures.
- Coordinate with other departments within the facility to assure appropriate usage of patient benefits:
- Coordinate with the case management staff to determine benefits for reduced level of care.
- Coordinate with case management staff and physicians / licensed practitioners for treatment extensions when appropriate, as well as coordinating coverage limits and other length of stay issues for patients.
- Provide back-up support to the receptionist/ switchboard as required.
- Adhere to facility, department, corporate, personnel and standard policies and procedures.
- Attend all mandatory facility in-services and staff development activities as needed.
- Adhere to facility standards concerning conduct, dress, attendance, and punctuality.
- Support facility-wide quality/performance improvement goals and objectives.
- Maintain confidentiality of facility employees and patient information.
MACHINES, TOOLS, EQUIPMENT, AND OTHER WORK AIDES:
THIS SECTION DESCRIBES THOSE MACHINES, TOOLS, EQUIPMENT AND OTHER WORK AIDE AN EMPLOYEE IN THIS POSITION MUST BE ABLE TO USE.
- Telephone, switchboard and paging system.
- Copy machine.
- Computer and various software packages.
- Calculator/10-Key.
- Facsimile machine.
- Postage meter.
- Typewriter.
- Policies, procedures, plans, and program manuals.
Note: The essential job functions of this position are not limited to the duties listed above.
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
We believe that diversity and inclusion among our teammates is critical to our success.
Notice
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill-set and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.