Patient Collections Representative

UMC Health System•Richmond, KY

About The Position

We’ve learned that what is best for patients is also best for employees. Learn more about why we are one of the Best Companies to Work for in Texas®. JOB SUMMARY: It is the goal of the Patient Collections Representative to assist patients with questions regarding their bills or any other questions regarding services at UMC. The Patient Collections Representative will reproduce patient bills for the purpose of collections and patient care as required by the hospital personnel, payers and other various parties exhibiting a vested interest in the integrity of the bill. The Patient Collections Representative must manage delinquent self-pay accounts prior to submission to an outside collection agency. The Patient Collections Representative will make phone and letter contacts on each account to determine why payment has not been made. REPORTS TO:

Requirements

High school graduate or equivalent required.
Ability to communicate both verbally and in writing.
Mainframe computer skills.
Basic accounting and detailed clerical skills.
Possess customer service skills.
Highly technical and problem solving skills.
Ability to adapt to changes.
Must be able to communicate in a professional manner at all times with co-workers, patients and family members.
Must be able to maintain a working relationship with Third Party Payers for reimbursement purposes.
Must be able to maintain an excellent working relationship with all departments in the hospital that you may have interaction.
Work is of medium demand; walking, sitting and standing most of the time while on-duty.
Occasional lifting of equipment is required.
Adequate hand/eye coordination and fine motor skills required for typing.
Talking and hearing is essential in dealing with co-workers and customers.
Work in a well-lighted, heated and ventilated building.
Hours may vary to accommodate needs of other departments.

Responsibilities

Collect and manage delinquent self-pay accounts prior to submission to an outside collection agency, Timely follow-up is required on each account.
Answer incoming phone calls and work account as applicable according to the patient’s issue regarding their account as the situation requires.
Must show ability to add insurance, verify Medicaid/Medicare eligibility for billing purposes as required on a daily basis and must be able to use the correct transaction codes and financial classes.
Reach a level of understanding with the patient during each encounter. Maintain a professional attitude at all times. All clerical duties are secondary to the patient’s inquiries.
Make telephone calls or letter contact with each account every thirty days or as needed to determine why payment has not been met on account.
Understand and abide by third party payers rules for billing and collections, Refer to desk manuals as required or for additional information.
Must show ability to analyze third party payments for accuracy and must be able to print itemized bills and UB92’s.
Set up budget plans according to balance owed as required and must abide by the Budget Plan guidelines set forth by Administration
Correct all Patient Accounting where errors are noted and inform the proper supervisor/employee of errors and what measures should be taken to prevent reoccurring errors.
Inform management of any recurring problems or issues. Must show ability to determine when management assistance is needed on a patient inquiry.