Patient Financial Services - Self-Pay Collections Specialist

Presbyterian Healthcare Services

2d • $17 - $27

About The Position

The Self-Pay Collections Specialist follows up on, collects, and resolves outstanding self-pay accounts receivable. The role includes accounts receivable follow-up, customer service, correspondence response, and daily reconciliation of activities. The specialist follows established guidelines to support timely and accurate reimbursement for self-pay accounts.

The specialist handles accounts in a customer-service-oriented manner, helps patients identify potential financial assistance or establish acceptable payment arrangements, and maintains complete account files. The position also involves contacting insurers, patients, and employers about outstanding hospital claims; supplying requested claim-processing information; maintaining follow-up and collection reports; and coordinating with supervisors, managers, and outside agencies to resolve accounts.

The role is based at Presbyterian's Reverend Hugh Cooper Administrative Center in Albuquerque and is listed as a full-time, non-exempt, day-shift opportunity. The employee must be able to provide a high-speed DSL or cable modem and a confidential, HIPAA-compliant home workspace free from distractions.

Requirements

• High school degree or GED.
• At least six months of experience in insurance follow-up and/or self-pay collections is preferred.
• Ability to communicate effectively by telephone and in writing.
• Excellent organizational, problem-solving, verbal and written communication skills, attention to detail, and ability to interact effectively with other functional areas and management teams.
• Strong work ethic and ability to work effectively in a team environment.
• Ability to prioritize and manage a high-volume workload in a fast-paced environment with continually changing payer regulations and requirements.
• Basic knowledge of revenue cycle processes.
• Ability to provide high-speed DSL or cable modem service for a home office, with a minimum standard speed of 25 Mbps download and 10 Mbps upload.
• Ability to provide a confidential, HIPAA-compliant workspace free from distractions.

Nice To Haves

• Short-term training in insurance collections and claims processing.
• Experience with Microsoft Office Suite products.
• Basic knowledge of ICD-10, HCPCS, CPT codes, Revenue Codes, UB04 and HCFA 1500 claim forms, and electronic processing of 837 and 835.

Responsibilities

• Follow up on, collect, and resolve outstanding self-pay accounts receivable.
• Handle self-pay accounts in a customer-service-oriented manner while collecting monies due to PHS and preserving its positive community image.
• Help patients identify eligible financial assistance or, when none applies, arrange acceptable payment plans.
• Communicate account issues to teammates and the Self-Pay Collections Supervisor; participate in team meetings and proactively share work-related ideas and concerns.
• Maintain files with pertinent account information, including correspondence, EOBs, and claims.
• Contact insurance companies, patients, and employers about outstanding hospital claims.
• Provide information requested by insurance companies to process claims, such as medical records and itemized statements.
• Maintain a system for timely follow-up on outstanding accounts.
• Maintain collection reports for assigned accounts and document work according to Patient Accounting Department policies and procedures.
• Follow up on all accounts listed in assigned reports until they are resolved.
• Refer accounts for write-off, agency referral, or attorney referral in accordance with PHS guidelines; refer difficult accounts to the Self-Pay Collections Supervisor or Follow-up & Collections Manager for guidance.
• Work with contracted outside agencies and assist them in resolving accounts assigned by the Self-Pay Collections Supervisor or Follow-up & Collection Manager.
• Cross-train in Patient Accounting Department areas to become familiar with functions related to collections.
• Follow PHS and Patient Accounting Department policies and procedures and practice CARES behaviors.
• Perform other duties assigned by the Self-Pay Collections Supervisor and/or Follow-up & Collection Manager.

Benefits

• Medical, dental, and vision insurance.
• Short-term and long-term disability insurance.
• Group term life insurance and other optional voluntary benefits.
• Employee Wellness rewards program, with opportunities to earn gift cards and other rewards through wellness activities.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED