Oversees the daily operations of the Pt Collections Dept to ensure compliance with billing policies and procedures. Monitor and analyze the performance of the collections team while implementing measures to improve productivity and success rates.
Key Responsibilities
• Responsible for aspects of Pt Category Billing and Collections for 911 and Non-Emergency Ambulance Service Provider such as verifying insurance eligibility, billing patients, insurance companies & No-Fault & Worker's Comp claims.
• Liaison between senior management, employees, and clients to ensure proper lines of communication critical in addressing a myriad of problems and issues requiring immediate attention and resolve.
• Review and evaluate delinquent accounts, determining appropriate actions to be taken in accordance with company policies and billing practices.
• Ensure Pt Category Dept meets/ exceeds established cash collection goals on a consistent basis.
• Contact Patients/ Insurance carriers and take necessary action to ensure timely payments.
• Understanding Customer Service relations to foster an environment of empathy when contacting patients to ensure debt collections are secured in a timely fashion.
• Provide General administrative and clerical support including but not limited to, receiving, and sorting daily mail, maintaining medical records, faxing, copying, scanning & stamping outgoing mail.
• Responsible for training and coaching team members on new and/or existing procedures.
• Work closely with several outside collection agencies to ensure accurate handling of patient accounts.
• Responsible for daily/ weekly & monthly reporting of following reports: Dept productivity, QA/QI's, Collection Agency Payments, Pt Collections Daily Billings & Collections Calls, Collection Agency assignments, uploads & payment reporting, Tasks Assignments/ Follow Ups. Hospital Research, Pt Correspondence/ Returned Mail/ Hospital Face Sheets. Data Scrubbing process to maximize billing & collections. Pt Complaints. Dept training/ refreshers.
• Responsible for Pt Refunds account review processes and following refund procedures with Finance Dept.
• Responsible for reviewing daily Billing Dept timeclock and completing payroll bi-weekly.
• Attending industry Webinars and preparing summary to ensure we are up to date with industry & billing compliance standards.
• Responsible for completing Dept projects as assigned.
• Work closely with Dept Managers/ Supervisors to create improvement & implement processes to ensure Dept goals and objectives are met in a consistent basis.
POSITION QUALIFICATIONS
Education & Experience
High School Diploma, Associate degree preferred.
Maintain working knowledge of ICD-10, CPT and HCPCS coding, NPI, HIPAA, Modifiers, EPCR's and all forms of medical billing (direct, 3rd party, HMO's, private pay, no-fault, worker's comp, Medicare & Medicaid
Excellent organizational skills and the ability to multi-task in a fast-paced environment
Review and research data; use intuition and experience to complement data.
Thorough knowledge of transport documentation (PCRs)
Ability to follow up on outstanding Pt/ Insurance accounts.
Health Insurance Portability and Accountability Act (HIPAA) requirements and record retention compliance.
Excellent written and verbal communications skills required • Excellent documentation skills (promptness, accuracy, thoroughness, and legibility).
Working knowledge of EMS systems/private ambulance and medical transportation systems preferred.
Knowledge Microsoft Word, Microsoft Excel, PowerPoint, and Microsoft Windows.
Familiarity with medical terminology
Organizational and leadership abilities, detail oriented.
Work Environment:
Work is performed under normal working conditions, as in a standard office environment.
Physical Requirements:
High level of sitting/working at a desk
Light physical effort (lift/carry up to 10 lbs.)
Must be able to perform the essential duties of the position with or without reasonable accommodations.
All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, age, marital status, pregnancy, genetic information, or other legally protected status.
