Collections Clerk (Private Pay Collector)
About The Position
Notifies or locates customers with delinquent accounts and attempts to secure payment. This role involves contacting patients, guarantors, and other responsible parties via telephone, mail, and other approved communication methods to obtain payment, insurance information, or other necessary details to resolve outstanding accounts. The position requires reviewing account status, discussing billing and payment arrangements, and establishing payment plans in accordance with company policies. Responsibilities also include receiving and processing payments, accurately posting payment activity, and documenting all collection activities and account-related information in the appropriate systems. The Collections Clerk will respond to patient inquiries and complaints, providing professional customer service, and conduct skip-tracing activities to locate responsible parties. Additionally, the role involves preparing and mailing collection notices and correspondence, referring unresolved accounts as needed, and maintaining accurate records. Collaboration with billing, customer service, and management personnel is essential for timely account resolution, and providing exceptional customer service during all communications is a key aspect of the job.
Requirements
- Proficient in the use of personal computers and Microsoft Office applications.
- Knowledge of the Health Insurance Portability and Accountability Act (HIPAA), medical terminology, medical billing practices, procedure codes (HCPCS), and diagnostic codes (ICD-10).
- Ability to work effectively both independently and as part of a team.
- Ability to type a minimum of 35 words per minute.
- High school diploma or general education degree (GED).
- One to three months related experience and/or training, or equivalent combination of education and experience.
- Minimum of one year revenue cycle management experience.
- Fully fluent in the English language.
- Ability to read and comprehend instructions, correspondence, memoranda, and other written communications.
- Ability to prepare clear and concise written correspondence.
- Ability to effectively present information and respond to questions from co-workers, supervisors, clients, customers, members of the medical community, regulatory agencies, and the general public.
- Ability to respond appropriately to routine inquiries, concerns, and complaints from clients, regulatory agencies, and members of the medical community.
- Ability to actively listen, understand, and accurately interpret verbal communications from co-workers, supervisors, clients, customers, and the general public.
- Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
- Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.
- Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions.
- Ability to deal with problems involving a few concrete variables in standardized situations.
Responsibilities
- Contacts patients, guarantors, and other responsible parties by telephone, mail, and other approved communication methods to obtain payment, insurance information, or other information necessary to resolve outstanding accounts.
- Reviews account status and discusses billing, service, payment, and credit arrangements with patients and guarantors to identify and resolve delinquent accounts.
- Establishes payment arrangements and negotiates payment plans in accordance with company policies and procedures.
- Receives and processes payments and accurately posts payment activity to customer accounts.
- Documents collection activities, payment arrangements, demographic updates, insurance information, and other account-related information in the appropriate systems.
- Responds to patient inquiries and complaints, providing professional and courteous customer service while working toward account resolution.
- Conducts skip-tracing activities and utilizes available resources to locate patients, guarantors, or other responsible parties.
- Prepares and mails collection notices, billing correspondence, and other account-related communications.
- Refers unresolved accounts to management, collection agencies, attorneys, or other designated third parties in accordance with company policies.
- Maintains accurate records and files related to billing, collections, correspondence, and account activity.
- Works collaboratively with billing, customer service, and management personnel to facilitate timely account resolution.
- Provides exceptional customer service during both inbound and outbound telephone communications.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
