Medical Collections and Resolution Representative

Hiring for a Lead Self Pay Follow Up & Account Resolution for a healthcare facility in the Worcester area. 

Schedule:  Standard business hours like an 8a-5p or 8a-430p
Location:  The position works remotely but does require employees to be local as they will report onsite at least 1x quarterly for a meeting, or in between for other important meetings and trainings.  The first day or two could require being on site for training.

Pay rate: $30/hr
Department:  Patient Financial Services (Revenue Cycle)

Position Summary:

Provides functional oversight to staff and initiates collection activity on outstanding high dollar self-pay balances and responds and resolves complex inquiries/requests from patients, clinics and physician offices regarding self-pay balances for both hospital and physician accounts. Acts as a liaison to Single Billing Office external vendors.

Major Responsibilities:
 

1. Works with and provides functional oversight to Self-Pay Follow Up Representatives and Self-Pay Account Resolution Representatives.
2. Intercedes on complex and varied account issues related to disputed accounts, cosmetic accounts, settlements, victim of violent crime accounts, payment plans, bankruptcy, statement skip accounts, and estate accounts.
3. Initiates collection activity on outstanding high dollar self-pay balances and responds to and resolves complex account balances disputed by patients.
4. Works accounts or special situations escalated by staff or upper management as required.
5. Works assigned system work queues within established protocols.
6. Serves as liaison for all collection agency vendors and outsource vendors.
7. Troubleshoots bad debt file transmission issues, transfers accounts to bad debt after established approval process.
8. Processes all surcharge letters from the state, runs and maintains reports specific to self pay follow up and self-pay account resolution, submits ER bad debt evidence to the state, manages all Violence against Women Act (VAWA) accounts, and does any required follow up for Identity theft accounts.
9. Communicates with other areas within the Revenue Cycle, clinics, physician offices, and insurance companies to resolve self-pay balances.
10. Documents all actions taken in the relevant billing system.
11. Completes daily statistic summary reports/logs.
12. Responds to staff’s daily inquiries regarding patient accounts. 

Standard Lead Level Responsibilities: 
 

1. Distributes and monitors the flow of work for an assigned group of employees.  Provides training and technical assistance to employees within the assigned work area.  Assists supervisor in assuring that assigned employees are provided with appropriate resources, materials, and methods.  Provides recommendations to manager or supervisor for the most efficient utilization of assigned personnel.  Relays work instruction from the supervisor.
2. Complies with established departmental policies, procedures, and objectives.
3. Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors.
4. Assists and provides input and feedback on department processes
5. Attends variety of meetings, conferences, and seminars as required or directed.
6. Demonstrates use of quality improvement in daily operations.
7. Complies with all health and safety regulations and requirements.
8. Maintains, regular, reliable, and predictable attendance.
9. Performs other similar and related duties as required or directed.

Position Qualifications:

High School Diploma required, plus additional post-secondary courses in medical billing and medical terminology.
Three years of relevant work experience.
Thorough knowledge of third-party insurance and medical terminology.
Computer skills.
Demonstrated ability to deal effectively with the public, physicians, and others, both inside and outside of the organizations.