Self-Pay Collection Rep II

University of Rochester•Rochester, MN
•$20 - $27•Onsite

About The Position

The Self-Pay Collection Rep II maintains patient account records, including payments, rebates, and reversals, and may establish alternative payment plans. The role may also review and resolve third-party payer issues. The position reviews reports and worklists to reduce unbilled self-pay visits and ensure timely patient billing, and ensures hold bills are resolved within 30 days. It investigates and resolves self-pay credit balances, processes transfers and refunds, and responds to patient inquiries by following up on billing, explaining balances and payment options, and coordinating with other areas to verify account accuracy. The representative also contacts customers about outstanding balances and recommends appropriate resolution options. The role provides backup coverage for the collection agency liaison, including work related to estate claims, settlement offers, bankruptcy filings, and disputes.

Requirements

  • Associate's degree and 2 years of relevant experience, or an equivalent combination of education and experience.

Responsibilities

  • Review reports and worklists covering unbilled cash claims, self-pay plans not final billed, hold bills, statement edits, credit balances, self-pay balances greater than $10,000, faith-based reports, and budget plans.
  • Work reports and worklists to reduce unbilled self-pay visits and ensure patients are billed in a timely manner.
  • Resolve hold bills within 30 days of the hold.
  • Review and resolve credit balances on self-pay accounts, including reviewing accounts for outstanding credit transfers.
  • Prepare refund spreadsheets, transfer payments between visits, and transfer balances between plans to resolve offsetting balances.
  • Respond to incoming patient inquiries and complete follow-up, including initiating insurance billing, explaining statement balances and review processes, advising callers about payment options, and coordinating with other areas to verify balances.
  • Call customers about outstanding balances based on a dollar threshold and recommend resolutions such as collection agency referral, presumptive financial assistance, or insurance billing.
  • Provide backup coverage for the collection agency liaison, including estate claim verification, settlement offers, bankruptcy filings and resolution, and review of disputes from collection agency referrals.
  • Perform other duties as assigned.
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