Responsible for managing charge capture, insurance verification, and collecting patient payments including co-pays and deductibles. The role involves registering patients and reconciling daily work batches to ensure accurate billing.
DUTIES AND RESPONSIBILITIES
Charge capture and over-the-counter payment posting.
Insurance verification and eligibility.
Insurance pre-authorization/pre-certifications.
Counseling patients and families on insurance and payment issues prior to surgery.
Ensures all insurance, demographic, and eligibility information is obtained from patients and entered into the billing system in an accurate and timely manner.
Registers patients in the system.
Collects and revises all patient insurance information.
Collects co-pays, deductibles and other out of pocket amounts at the time of service.
Posts approved adjustments to patient accounts.
Balances receipts, reconciles daily work batches and prepares audit trial.
QUALIFICATIONS
Education
High School Diploma or Equivalent
Experience
2 years of medical collections experience required
Knowledge of computers with experience in windows-based systems and Microsoft Office
Experience with medical practice billing software necessary
License(s)/Certification(s)
Regional Collector
Knowledge/Skills/Abilities
Good verbal and written communication skills
Knowledge of CPT and ICD-10 coding and electronic billing necessary
Ability to communicate effectively with center management, center staff, patients, their families, the physicians and their staff
Ability to read, write and speak the English language
Ability to handle frequent interruptions that result in having to re-evaluate priorities
Proficient in medical terminology
CORE COMPETENCIES
N/A
WORKING CONDITIONS
Physical Requirements
Talk / Hear
See
Stand
Sit
Repetitive Use of Hands
Hazards and Atmospheric Conditions
Normal Office Surroundings
COMPETENCIES
Agility
Resourcefulness: Adapts quickly to changing circumstances; cleverly navigates obstacles and constraints.
Manages Uncertainty: Comfortable when things are in flux; readily shifts approach or behavior to fit changing circumstances.
Bias to Action
Action Oriented: Propensity to act or decide and move forward with a logical approach; can decide and act without having the total picture.
Delivering Results: Strives for high levels of achievement; maintains a clear and steady focus on meeting goals, despite obstacles; is resilient when encountering setbacks.
Customer Focus
Identifying with Customers: Understanding who the external and internal customers are and what they value.
Managing Complexity
Essence: Extracts the core meaning out of complex situations; can separate the important from the noise when problem solving; hunts for the root cause of successes and failures.
Manages Conflict
Can hammer out tough agreements and settle disputes equitably.
Stays positive, constructive, and respectful.
Benefits:
Comprehensive health, dental, and vision insurance
Health Savings Account with an employer contribution
Life Insurance
PTO
401(k) retirement plan with a company match
And more!
ENVIRONMENTAL/WORKING CONDITIONS: Normal busy office environment with much telephone work. Possible long hours as needed. The description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.
*If you are viewing this role on a job board such as Indeed.com or LinkedIn, please know that pay bands are auto assigned and may not reflect the true pay band within the organization.
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