Patient Collection Specialist
About The Position
The Patient Collection Specialist works on behalf of Vital Care franchise partners to collect outstanding patient accounts receivable. The role focuses on productivity and recovery of amounts due while maintaining effective communication and cooperation with patients, caregivers, franchisees, peers, and leadership. This full-time position is remote. The specialist researches patient accounts and financial responsibility, processes payments, arranges payment plans, supports access to patient assistance programs, and follows up on unpaid balances. The role also helps ensure accurate patient statements and financial hardship agreements, maintains reference information about assistance programs, and escalates complex accounts for review.
Requirements
- High school diploma or equivalent.
- Ability to resolve financial issues requiring research and attention to detail.
- Excellent English listening, speaking, comprehension, and writing skills, including the ability to communicate with and influence patients, caregivers, and payer representatives and advance reimbursement and collection efforts.
- Understanding of processes, systems, and techniques for successful collections involving patients and/or franchise partners.
- Ability to identify documentation gaps and problems, determine lasting solutions, make effective decisions, and take corrective action.
- Knowledge and skill in using Microsoft Office software and pharmacy applications.
- Ability to maintain strict confidentiality and HIPAA compliance.
Nice To Haves
- Previous self-pay collections experience, preferably in an infusion or other medical setting.
Responsibilities
- Research accounts to determine correct self-pay balances.
- Review benefits verification forms and admission agreements to determine patient financial responsibilities.
- Work with locations to obtain additional information, including phone numbers, address corrections, and patient identifiers.
- Review monthly patient statement reports to identify follow-up priorities.
- Process patient payments and establish payment arrangements within established parameters.
- Identify accounts for potential write-offs or other collection options.
- Maintain current knowledge of payment options, including payment plans, recurring credit card payments, and checking account auto-draft processes.
- Assist patients with enrollment in patient assistance programs and applicable foundation support.
- Review and work unpaid patient balances daily using financial reports and approved resources to collect accounts receivable efficiently and accurately.
- Communicate financial information clearly to patients, caregivers, franchisees, and team members.
- Respond to questions and correspondence about patient 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 administering patient statements to monitor communications, statement accuracy, and quality.
- Educate patients about out-of-pocket expenses and their financial participation in therapy.
- Audit financial hardship agreements in accordance with applicable policies and procedures.
- Research and add patient assistance programs to reference materials, and identify program changes, processor updates, and new-to-market drugs for team use.
- Perform other related duties as assigned.
Benefits
- Comprehensive medical, dental, and vision plans
- Flexible spending accounts and health savings accounts
- Paid time off, personal days, and company-paid holidays
- Paid paternal leave
- Volunteerism days off
- Company-sponsored basic life insurance and long-term disability insurance
- Employee-paid voluntary life, accident, critical illness, and short-term disability insurance
- 401(k) matching
- Tuition reimbursement
- Employee assistance programs covering mental health, financial, and legal support
- Rewards programs offered by the medical carrier
- Professional development and growth opportunities
- Employee Referral Program
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What This Job Offers
Job Type
Full-time
Education Level
High school or GED
