Self Pay Collector 1

Self Pay Collector 1

The Self Pay Collector 1 manages the accounts receivable for both hospital and professional accounts in accordance with compliance, regulatory and billing guidelines and specific payer rules. Maintains accurate and confidential records in compliance with HIPAA and organizational policies. Responsible for collection of outstanding receivables. Meets daily productivity and quality expectations and participates openly in departmental audit/review processes to ensure that all work is monitored and completed based on departmental standards. Responsible for making outbound calls to patients, communicating the self-pay billing process, setting up payment arrangements, validating insurance coverage and attaching insurance to claims. In addition, answers, documents, and completes inquiries from patients. Delivers exceptional customer service while guiding patients through their financial responsibilities.

Qualifications

• One (1) year experience in health care required or a high performer as an Accounts Receivable Representative 1. Credit and collection experience preferred. Proficient computer knowledge related to Microsoft Office applications such as Word, Excel, Outlook and Receivables Management systems.

Responsibilities

• Contact patients via phone, email, or mail to collect outstanding balances.
• Works account work queues to perform collection activities, investigate balances, request money be moved, ensure statement delivery and send inquiries on outstanding self-pay receivables.
• Initiate and follow up on patient contact via phone, email, and written correspondence to resolve outstanding balances. Resolves patient underpayments, no payments, overpayments and undistributed payments for proper allocation.
• Set up and monitor payment plans in accordance with established guidelines.
• Provides financial counseling and assistance with the Carle Financial Assistance program and other discount opportunities with patients when applicable.
• Identifies and resolves billing and insurance errors to facilitate accurate and timely billing.
• Maintain confidentiality and comply with HIPAA regulations.
• Provide excellent customer service, with the ability to handle sensitive financial conversations with empathy and professionalism.
• Recommend an adjustment when applicable or recommend a refund for overpayments to insurance carriers or patients, providing the appropriate documentation.
• Identify problem accounts and escalate as appropriate.
• Inform patients explicitly of their obligation to pay for services and notate accounts accurately. Accurately updates demographic, insurance, and billing information for patients.
• Identifies and reports account corrections needed for guarantor number changes (GNC's) double registrations, and other account build issues in the practice management system.
• Responsible for meeting and exceeding departmental productivity quality assurance standards. Performs other duties as assigned.