Patient Collection Specialist - RCM

Vital Care Infusion Services•Philadelphia, PA

3d•Remote

About The Position

Vital Care is seeking a Patient Collection Specialist to work on behalf of its franchise partners to collect outstanding patient accounts receivable. The goal is to ensure optimum productivity and recovery of dollars due while demonstrating effective cooperation and communication with patients, franchisees, peers, and leadership. Vital Care is a premier pharmacy franchise business with a passion for improving the lives of patients and healthcare professionals through locally-owned franchise locations across the United States. They have over 100 franchised Infusion pharmacies and clinics in 35 states, focusing on underserved and secondary markets.

Requirements

Ability to resolve financial issues that require research and attention to detail.
Excellent communication skills: listening, speaking, understanding, and writing English while influencing patients, caregivers, and payer representatives, answering questions, and advancing reimbursement and collection efforts.
Proven understanding of processes, systems, and techniques to ensure successful collection working with patients and/or franchise partners.
Proven ability to identify gaps and problems from documentation review, determine lasting solutions, make effective decisions, and take necessary corrective action.
Proven knowledge and skill in utilizing the MS Office suite of software and pharmacy applications.
Maintain strict confidentiality and HIPAA compliance.
A high school diploma or equivalent is required.
Previous self-pay collections experience, preferably in an infusion or other medical setting.

Responsibilities

Research accounts as needed to determine the correct self-pay balance(s).
Review benefits verification forms and applicable admission agreements to determine patient financial responsibilities.
Work with locations to obtain additional information, such as phone numbers, address corrections, and patient identifiers.
Review monthly patient statement reports to identify follow-up priorities.
Process patient payments and set up payment arrangements within established parameters.
Identify accounts for recommendations of write-offs and/or further options to collect.
Maintain an up-to-date understanding of payment options, including payment plans, recurring credit card payments, or checking account auto-draft processes.
Assist patients with enrollment in patient assistance programs and applicable foundation support.
Review and work on patient unpaid balances daily, using financial reports and all available company-approved resources to collect accounts receivables efficiently and accurately.
Responsible for clear financial communication with patients, caregivers, franchisees, and all team members.
Answer questions and correspondence about patient account balances, self-pay collections, follow-up, payment plans, financial hardship, and related activities.
Identify and escalate problem accounts to leadership for review and resolution.
Work with Collect Plus and designated teams who administer patient statements to monitor communication, statement accuracy, and quality of this function.
Educate patients about their out-of-pocket expenses and provide transparency for patient participation in the financial component of their therapy.
Audit financial hardship agreements adhering to applicable policies and procedures.
Research and add patient assistance programs, as needed, to maintain PAP reference material.
Identify program changes, processor updates, and new-to-market drugs for team use.
Perform other related duties as assigned.