Patient Collection Specialist

Vital Care Infusion Services•Monroeville, PA

6d•Remote

About The Position

Vital Care is seeking a Patient Collection Specialist to work on behalf of franchise partners to collect outstanding patient accounts receivable. The role aims to maximize productivity and recover amounts due while maintaining effective, clear communication and cooperation with patients, caregivers, franchisees, peers, and leadership. The specialist researches patient balances, supports payment and assistance options, monitors account statements, and escalates problem accounts. This is a full-time, remote position.

Requirements

High school diploma or equivalent.
Ability to resolve financial issues that require research and attention to detail.
Excellent English listening, speaking, comprehension, and writing skills to communicate with and influence patients, caregivers, and payer representatives, answer questions, and advance reimbursement and collection efforts.
Proven understanding of processes, systems, and techniques for successful collections while working with patients and/or franchise partners.
Proven ability to identify documentation gaps and problems, determine lasting solutions, make effective decisions, and take necessary corrective action.
Knowledge and skill in using the MS Office suite 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 as needed 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, corrected addresses, and patient identifiers.
Review monthly patient statement reports and identify follow-up priorities.
Process patient payments and establish payment arrangements within approved parameters.
Identify accounts for write-off recommendations or other collection options.
Maintain current knowledge of payment options, including payment plans, recurring credit card payments, and checking account auto-drafts.
Help patients enroll in patient assistance programs and applicable foundation support.
Review and work unpaid patient balances daily, using financial reports and approved resources to collect receivables efficiently and accurately.
Communicate clearly about financial matters with patients, caregivers, franchisees, and team members.
Respond to questions and correspondence about 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 administering patient statements to monitor communication, 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 maintain reference materials.
Identify program changes, processor updates, and new-to-market drugs for team use.
Perform other related duties as assigned.