JOB DESCRIPTION – Patient Service Representative (Bad Debt)
The Patient Service Representative is responsible for collecting unpaid balances on delinquent medical accounts to ensure complete resolution of the account in an efficient manner as possible. Under the supervision of the department manager, the Patient Service Representative will work with guarantors by offering suggestions for establishing payment plans. The Patient Service Representative will also perform skip tracing or follow up with insurance companies if appropriate. The Patient Service Representative will utilize excellent customer service and communication skills to proactively seek all avenues to collect outstanding debts, following established guidelines and procedures.
EDUCATION & WORK EXPERIENCE:
A High School diploma or equivalent is required. A minimum of two years of previous work experience as a bad debt collector in a medical office setting is required. Applicant must have a full understanding and working knowledge of FDCPA and state laws regarding collection. Applicant must have knowledge of current medical billing software systems and online collection interfaces. Must have well-developed interpersonal skills.
REQUIRED JOB KNOWLEDGE SKILLS:
Able to obtain necessary information for account resolution.
Excellent verbal and written communication skills
Reliable attendance record
Knowledge of EOBs, CPT & ICD-9 codes, HCFAs, UB04s, HCPCS, DRGs and Authorizations/referrals
Good problem-solving skills
Ability to learn/stay abreast of relevant policies
Computer literate/able to use basic functions of a computer
Ability to type a minimum of 30 wpm
Detail oriented and well organized
Outstanding listening skills
Ability to perform under pressure in a calm manner
Basic math skills
High degree of accuracy
CORE RESPONSIBILITIES & JOB FUNCTIONS:
Core responsibilities include but are not limited to the items listed below:
Treat patients with respect and courtesy
Utilize skip tracing techniques to locate patients and assets
Review, Interpret Patient Statements, Balance and Client Contractual Terms/Agreements
Physical demands: While performing the duties of this job, the employee is occasionally required to walk; sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; balance; stoop; talk or hear. Specific vision abilities required by the job include close vision, distance vision, color vision peripheral vision, depth perception, and the ability to adjust focus.
Work environment: The noise level in the work environment is usually moderate
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Acclara Solutions is a revenue cycle management firm that helps hospitals, health systems, and physician practices recover more revenue more quickly with services for Patient Financial Responsibility, Insurance Reimbursement, and Conversion Assistance.
By achieving outstanding financial results and minimizing claims denials, hospitals and health systems are able to reinvest revenue into their patient care. By focusing on the patient experience and sharing the right information with them in a respectful manner, patients are more willing to pay their responsibility.