Self Pay Collector

HUMBOLDT GENERAL HOSPITAL•Winnemucca, NV

28d

About The Position

The Self-Pay Biller/Collector is responsible for managing patient Self-pay accounts, ensuring accurate billing, and collecting outstanding balances after insurance payments or for Self-pay services. This role also processes credit balances and issues refunds to patients and insurance companies in compliance with hospital policies and regulatory requirements. The position requires strong knowledge of hospital billing processes, patient financial responsibility, and adherence to federal and state regulations.

Requirements

High School diploma or equivalent is required
The Self Pay Collector will utilize excellent customer service and verbal and written communication skills with.
The ability to obtain necessary information for account resolution.
Knowledge of EOBs, CPT & ICD-9 codes, HCFAs, UB04s, HCPCS, DRGs, insurance, EOBs and Authorizations, credit balance processing, processing refunds, referrals.
Good problem-solving skills.
Ability to learn / stay abreast of relevant policies.
Computer literate and able to use basic functions of a computer.
Detail oriented and well organized with outstanding listening skills and the ability to perform under pressure in a calm manner.

Nice To Haves

Two years previous work experience as a bad debt collector or customer service in a medical office setting is preferred

Responsibilities

Collects patient balances, including copayments, coinsurances and deductibles, as well as any former or current balances that are outstanding.
Explains payment and billing processes with patients as needed including but not limited to financial counseling and established HGH standard payment plans
Responds to billing questions
Collector will work with guarantors by offering suggestions for establishing payment plans
Follow up with insurance companies if appropriate
Proactively seeks all avenues to collect outstanding debts while following established guidelines and procedures
Consistently provides exceptional customer service for, and effectively communicates with, clients, patients, payers and coworkers
Clearly, accurately and concisely documents notes in medical software system per company guidelines and to meet all HIPAA requirements
Maintain productivity as assigned through Cerner work queues and manager/director
Reviews, monitors and processes collection agenda/vendors outgoing and incoming collection files
Process patient and insurance refunds and credit balance requests
Perform additional responsibilities and projects as needed to support departmental goals and organizational objectives.