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Self Pay Medical Collections

Langhorne, PA

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Description

Self-Pay Collector/Medical Collections Associate 
 
Fast growing and employee friendly, with an exciting opportunity for a Medical Collections or Self-Pay Collector in our newly opened Langhorne main office. We are seeking candidates who want to work in a friendly and safe office environment. The primary responsibilities of this position includes the accurate and timely submission and resolution of claims from variety of payers.
 
Self-Pay Collector/Medical Collections Associate Role and Responsibilities:
  • Runs statements for each location monthly, determines claim was processed correctly and patient was advised of amount due and sends invoices as applicable.
  • Makes outbound calls to patients to determine why payment has not been made.
  • Responds to inbound calls to process CC, payment plans, and troubleshoot patient questions/complaints.
  • Responsible for accurate and timely posting of patient payments balancing deposit report to payment sheet.
  • Reviews payment logs for accuracy and updates deposit dates.
  • Attempts to resolve any discrepancy and notify Supervisor of any recurrent issues.
  • Reviews accounts and preps for collection approval from Regional Managers.
  • Sends all necessary documentation to Collection Agency for approved claims.
  • Provide monthly status reports or recommended write offs to Management.
  • Updates system immediately when balances have been satisfied.
  • Effectively implementing company policy change.
  • Adapting to necessary changes from old methods to new ones.
  • Responsible for running payment plan reports on Waystar and making sure patient payments are ran and recorded in the system.
  • Identify any credit card denials and contact patients to ensure continuation of payment plans.
  • Responsible for accurate and timely refund due to patients.
  • Sort Excel Worklist to ensure timely follow up on patients with high balances, cob issues, payment plans, and # of invoices sent etc. to collect full amount owed.
  • Knowledgeable in regards to Health Insurance Explanation of Benefits in order to properly answer patient billing questions.
  • Preparing statements for patient invoices, keeping records of collection and status of accounts.
  • Answer and respond to correspondence related to patient accounts.
  • Process billing calls from patients on their balances.
  • Research, record and track patient billing trends within the company.
  • Completes other duties as assigned
  • Participates in projects as needed

Job Requirements

Self-Pay Collector/Medical Collections Associate Skills & Requirements / Qualifications:
The requirements listed below are representative of the knowledge, skill, and/or ability required including computer skills/level.
  • Knowledge of Insurance processes and EOB’s to effectively communicate with patients on their balances.
  • Previous experience collecting with insurance and or patient billing.
  • Excellent communications skills, both verbal and written.
  • Working knowledge of Excel and Word.
  • Well organized and detail-oriented.
  • Knowledge of HCPCS and ICD coding.
  • Familiarity with State Laws regarding collections a plus.
  • Ability to work independently.
  • Ability to exercise judgment and make decisions.
  • Excellent communication skills to communicate with patients, physicians, clients, coworkers, and management staff.
  • Ability to perform in a high productivity, fast-paced environment.
  • Ability to document accurately and concisely.
  • Excellent phone and computer skills.
  • Ability to maintain sensitive information in confidence
  • Ability to meet deadlines and prioritize diverse responsibilities.
  • Proficient in Microsoft applications including but not limited to Outlook, Word, Excel
  • Organized and detail-oriented
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