Patient Collection Representative

Saint Francis Health SystemYale, MI
Onsite

About The Position

The Patient Collection Representative I will act as a liaison between Patient Account Services, physician offices, clinical areas, attorney offices, patients and third-party carriers to identify and resolve account discrepancies along with patient concerns and inquiries.

Requirements

  • High School Diploma or GED.
  • Minimum 1 year of related experience.
  • Knowledge of basic healthcare and insurance terminology.
  • High level of timeliness and attention to detail.
  • Knowledge of basic computer functions.
  • Ability to navigate insurance website to determine patient eligibility.
  • Excellent communication, telephone etiquette and customer service skills.
  • Knowledge of medical billing insurance and follow-up activities.

Responsibilities

  • Monitors, researches and updates patient account to resolve balances according to established protocols.
  • Answers patient, insurance, and client calls and responds to correspondences in a time frame that meets or exceeds standards to ensure resolution of account balances.
  • Assists with documentation requests, eligibility issues, and contractual payment accuracy.
  • Utilizes appropriate guidelines to evaluate and adjust accounts based upon the patient/account status (deceased patient, small balance, charity, etc.).
  • Reviews past due self-pay balances for assignment to outside collection sources, financial assistance or payment opportunities.
  • Performs assigned work queues, daily tasks, account follow-up activities and related duties or other duties based on productivity expectations per assignment.

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What This Job Offers

Job Type

Full-time

Career Level

Entry Level

Education Level

High school or GED

Number of Employees

501-1,000 employees

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