GENERAL SUMMARY AND SCOPE Monitors outstanding account balances to determine those which require insurance follow-up and perform that follow-up. Processes refunds for overpaid accounts; receives and answers follow-up-related inquiries; and prepares follow-up reports. ESSENTIAL TASKS, DUTIES AND RESPONSIBILITIES Monitors the Collector Desktop and performs appropriate follow-up on reminders and receivables list. Regularly works Receivables to identify delinquent accounts, as well as credit balances. Follows-up on a timely basis with third party payers for their portion, either by phone, letter, fax, or e-mail. Transfers overpayments and/or writes up refund requests for credit balances in a timely manner. Monitors selection reports compiled in Meditech for appropriate action. Receives and answers all internal and external correspondence in a timely and professional manner. Interacts and treats patients, third party payers, physician office personnel, immediate co-workers, other hospital employees, etc. with the utmost courtesy and respect. Assures that appropriate follow-up statements are sent to patients in a timely manner, and when appropriate turns delinquent accounts over to the appropriate collection agency in a timely manner. Performs all tasks within HIPAA requirements and performs duties in compliance with third party regulatory and contractual guidelines. OTHER TASKS, DUTIES AND RESPONSIBILITIES Maintains an acceptable “days in receivables” level as established for each payer category. Investigates overpaid accounts, determines recipient of overpayment, prepares refund vouches and submits to the manager. Respects confidentiality of patient information and uses discretion when discussing patient matters. Participates in department performance improvement activities as assigned and attends required training. Demonstrates service excellence and ACE. Performs other duties, as assigned. KNOWLEDGE, SKILLS AND ABILITIES High school diploma or equivalent. Ability to read and write small numbers and letters and to perform complex arithmetic, particularly percentages. Demonstrates an ability and willingness to work as a team with others in the patient accounting department. Ability to maintain neat and orderly reports. Ability to understand instructions and communicate effectively in both written and verbal form. Ability to work in a safe and efficient manner and maintain an accident free work place, including ability to demonstrate a working knowledge of Medical Center emergency codes. Ability to comply with OSHA regulations and CDC standard and transmission-based precaution recommendations and to utilize proper personal protective equipment. Ability to comply with provisions of applicable M.S.D.S. forms. Successful completion of a ninety (90) day get‑acquainted period.
Location/Region: Sandusky, OH (US)