Collections Clerk, Patient Accounting

Responsibilities:

• Monitors and manages the collection of accounts receivable as assigned.
• Documents each collection activity on the Patient Accounting system.
• Initiates calls to insurance carriers to facilitate a payment and follow up on a timely basis.
• Prepares accounts for bad debt based on departmental procedure and management approval. Recommend accounts for free care or discounts based on predetermined criteria.
• Enters adjustments and/or corrections to accounts to update the Patient Accounting file.
• Initiates processing of late charges, re-bills, insurance discounts, refunds, audit discrepancies, etc.
• Responsible for dunning patients and insurance carriers.
• Adheres to the Quality Review and Productivity standards established for each unit or individual, recognizing that approved special projects will be calculated into the Productivity standards.
• Achieves a minimum of 90% of the assigned productivity standard weekly (after a 6 week ramp-up period for new employees).
• Achieves a minimum of 2.5 on Quality Reviews (after 3 mock QRs for new employees).

Education or Equivalent Experience:

• H.S. Diploma/GED required.
• 1+ years experience in hospital patient accounting preferred.
• 1+ years basic understanding of hospital billing and knowledge of hospital reimbursement.
• 1+ years basic knowledge/understanding of healthcare/insurance terminology.

Skills and Abilities:

• Ability to use Microsoft Outlook, Word and Excel preferred.
• Possess good customer service skills preferred.
• Aptitude to work within multiple systems preferred.