Reimbursement Collections Specialist

Job Description

Job Description

POSITION SUMMARY

Under the direction of the Director of Reimbursement, the Reimbursement Collections Specialist will administer internal collection processes in regard to accounts receivables and patient accounts.

MAJOR AREAS OF RESPONSIBILITY

• Responsible for working Insurance accounts receivables and bill patient accounts.
• Responsible for contacting patients to obtain insurance information for billing or obtain other billing methods such as payment plans, discounted payment agreements or offering financial assistance to those who may qualify.
• Responsible for contacting all delinquent accounts that are on the Time-Pay schedule
• Researching and documenting the accounts with returned mail
• Review and provide requested documents from the Outsourcing Company in a timely manner
• Interact with hospital facility staff to obtain documentation need for billable accounts
• Update, Add, or correct any billing information to the A/R system, i.e., Medicaid, Medicare number, insurance information, etc.
• Provide phone coverage for incoming/outgoing customer calls
• Provides excellent customer service to internal and external customers
• Maintains a high level of integrity
• Maintains set productivity and tracking of success
• Ability to move high volume of accounts while being consistent with the details of the accounts and the internal processes
• All other duties and responsibilities as assigned

OTHER AREAS OF RESPONSIBILITIES

• Process credit card payments via telephone
• Assist with Life Saver membership completion, as requested by customers
• Assist with Financial assistance form completion, as requested by customers
• Handle Return mail
• Other duties as assigned.

MINIMUM QUALIFICATIONS

• Minimum one year experience in a healthcare business setting or previous ambulance billing/collection experience.

• Understanding of insurance payer billing and reimbursement.
• Successful customer service experience with patients and insurers.
• Must be a team player in a fast paced environment, with focus and attention to detail.
• Understanding of internal processes and the ability to research and multi-task.

CONDITIONAL OF EMPLOYMENT

• Candidates selected for employment are subject to a urinalysis/saliva testing to screen for illegal drugs. Candidates who refuse to be tested will be denied employment with the Richmond Authority
• Candidates selected for employment are subject to a fingerprint background screening. Candidates who refuse to be fingerprinted will be denied employment with the Richmond Authority
• New employees complete a 60 day probationary period

PHYSICAL DEMANDS

• Must be able to sit for long periods of time.
• Must be able to lift up to 10 pounds of force occasionally, moderate lifting, carrying, pushing and/or pulling.
• Must be able to walk and stand only occasionally.
• Required to have close visual acuity to perform activities such as preparing and analyzing data and figures.
• Must be able to perceive the nature of sounds at normal speaking levels with or without correction and receive detailed information through oral communication.