Job Description
Job Description
Duties and Responsibilities
Primary Job Functions[1] :
- Identifies delinquent accounts by aging period and payment sources in a timely manner
- Investigates delinquent unpaid accounts by contacting patients, sending statements or letters, and / or verifying third-party payments
- Answer patient questions on patient responsible portions, copays, deductibles, write-off’s, etc.
- Processes patient payments
- Collaborates with the AR Follow-up Specialist on primary and / or secondary insurance activity
- Verifies patient demographic and / or insurance information and edits as needed
- Evaluates patient financial status and either establishes a payment plan with the patient, assigns uncollectible accounts to a collection agency, or makes recommendations to the Revenue Cycle Supervisor to adjust the balance
- Provide necessary information to collection agencies
- Records approved adjustments in the patient accounting system
- Documents all correspondence in the patient accounting system
- Maintains knowledge of specific payment plan and collection policies set by the company and the collection agency
- Other duties as assigned.
Secondary Job Functions :
Attend meetings and training sessionsMaintain confidentiality of patient and financial information by utilizing HIPAA guidelines and regulationsAdheres to all Federal, State, and Local laws and regulations as well as policies set forth by Ohio Gastroenterology Group Inc and its related partiesKnowledge, Skills and Abilities
Knowledge of third-party payers and interpreting explanation of benefits (EOB’s)Understanding of basic medical terminology and proceduresProficient use of office equipment, such as copier and fax machine, phones, etc.Knowledge of computers, data entry, e-mail, and the InternetStrong attention to detailStrong time management skillsBasic mathematical skillsAbility to process credit card transactionsAbility to work independently with minimal supervisionExceptional written and verbal communication and interpersonal skills with a high degree of diplomacy and tactAbility to effectively communicate with a variety of people under stressful circumstancesNeat appearance, professional demeanor and pleasant voiceFluent in EnglishCredentials and Experience
Must have high school diploma or equivalentOne (1) year of experience as a collectorExperience with eClinicalWorks a plusPhysical Demands
Must be able to bend over (frequent), climb stairs (frequent), sit (frequent), stand (frequent), stoop (frequent), walk (frequent) and type on keyboard (frequent).Work Environment
Minimal medical office exposure that may require contact with adult patientsOffice workstation environment with numerous employees[1] Critical features of this job are described under this heading. They may be subject to change at any time due to reasonable accommodation or other reasons,