What are the responsibilities and job description for the Patient Collections Specialist position at Yosemite Pathology Medical Group?

Job Description

Yosemite Pathology is a private independent pathologist owned and operated surgical pathology and cytology laboratory based in Modesto, CA. YP provides comprehensive state of the art, reliable, and accurate diagnostic services to its physicians and major area hospitals in the Alameda, Amador, Calaveras, Contra Costa, Kern, Mariposa, Merced, San Joaquin, Solano, Stanislaus and Tuolumne counties.

YP offers a full spectrum of tissue pathology, cytology, and histology services, including examination of gynecologic specimens, body fluids and fine needle aspiration specimens. We also offer an extensive array of special stains and immunohistochemistry to assist in the management of oncologic and non-oncologic diseases. The laboratory is supported by highly qualified Histotechnologist, Cytotechnologist, Technicians and office staff who offer excellent service.

Summary / Objective

We are seeking a skilled and detail-oriented Patient Collections Specialist to join our healthcare team. The successful candidate will be responsible for overseeing patient accounts receivable process for anatomic pathology services, ensuring accurate billing, efficient claims processing, and effective accounts receivable management of co-payment, deductible, co-insurance, and non-insurance cash pay cases.

Shift : Monday - Friday 8 : 00 am - 5 : 00 pm

Essential Functions

Responds to messages in a timely manner
Maintains performance metrics standards (KPIs)
Timely follow-up and collections of outstanding patient aging
Provide support and guidance to patients regarding billing inquiries
Answer all in-bound phone calls
Make outbound phone calls to collect on outstanding balances
Set up payment arrangements within Financial Policy guidelines
Maintain log of promised payments and patient payment plans
Process patient payments over the phone
Return voicemails in a timely manner
Submit claims to insurance providers in a timely and accurate manner when insurance information is provided by the patient
Remove accounts from third party collections if paid by patient
Mail patient refunds and notate accounts accordingly
Resolve return mail and update billing information as needed
Make outbound patient calls to obtain updated credit card information when declined or insufficient
Assist the payment posting desk with reconciling patient payments
Assist the client desk with client collection calls as needed
Assist with other billing duties as assigned
Maintain the three C's for a successful collections strategy (communication, choice, control)
Monitor accounts receivable patient aging reports, analyze trends, and report collections and trend analysis to Revenue Cycle Manager
Develop strategies to reduce outstanding patient aging, improve collection metrics, and streamline processes
Ensure compliance with company policies and legal requirements related to collections and debt recovery
All other duties as assigned

Job Requirements and Skills

3 years of medical billing experience (Pathology billing experience is a plus)

High school diploma

Bilingual Spanish communication skills essential in this role - highly preferred

Advance knowledge of PPO, HMO, IPA, CMS, Managed Medi-caid / Managed Medicare

Working knowledge of CPT / ICD Codes

Knowledge of eligibility and benefits and ability to read and interpret EOB's

Familiarity with billing software online payor portal tools, XIFIN RPM a plus.

In-depth knowledge of healthcare reimbursement processes, insurance regulations, and payer requirements in relation to patient billing and collections.

Ability to work cooperatively with others demonstrating a positive and proactive attitude

Self-starter with solid organizational skills and ability to effectively manage multiple priorities or reprioritization of projects

Excellent written and verbal communication skills

Effective communication and collaboration skills to work across interdisciplinary teams

Strong analytical and problem-solving skills with ability to research and resolve issues

Ability to multi-task with a results-oriented paradigm in a fast-pace, high volume environment

Documentation skills with attention to detail

Proficient in Microsoft Office Suite - Strong Excel and Word skills are required

Compensation and Benefits :

The compensation range is $41,600 - $56,160 annually (non-exempt) paid semi-monthly on an eight (8) hour per day, forty (40) hour per week. Final salary offer subject to multiple factors including candidate experience and expertise, geographic location of the role, and current market data.

401(k) includes an employer match up to 4%

Robust health plans including dental, vision, life, and mental health support.

Offer generous annual vacation and sick time

10 paid holidays

Annual scrub allowance for Lab roles

All offers of employment at Yosemite Pathology are contingent upon clear results of a thorough background check. Background checks will be conducted on all final candidates.

Salary : $41,600 - $56,160

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