Collector - Revenue Cycle Consumer Center - Sharp Corporate - Day Shift - Full Time

To collect private pay receivables from point of payment or to assignment to bad debt, via initiating and responding to patient inquiries.

• To prepare delinquent accounts for transfer to outside collection agency after all avenues for obtaining payment have been exhausted.
• To review accounts and make the necessary adjustments to achieve correct balances.
• To prepare and/or report cancellations to outside agencies based on retroactive review of financial information or receipt of new eligibility information.
• To act as liaison to outside collection agency to ensure payment collection and recovery.
• To report payments and adjustments as required.
• To establish mutually acceptable payment arrangements (budget plans) in accordance with policy and procedure.
• To monitor accounts to ensure promised payments are received and agreements are cancelled when broken.
• To print, review and mail budget plan contracts as per established policy and procedure.
• To assess accounts via PCS (Paperless Collection System) workfile to commence direct collections action by initiating phone calls (average of 3 calls per patient) to patient/guarantors according to guidelines established for Department and conveyed by Team Leader.
• To initiate budget plan, collection assignment, insurance rebill or charity process after determination of recovery.

Required Qualifications

• H.S. Diploma or Equivalent
• 2 Years experience in all areas of medical billing and collections with demonstrated above-standard performance.
• Call center experience.

Preferred Qualifications

• None specified.

Essential Functions

• Prepare delinquent accounts for transfer to outside collection agency after all avenues for obtaining payment have been exhausted.
• Review accounts and make the necessary adjustments to achieve correct balances.
• Prepare and/or report cancellations to outside agencies based on retroactive review of financial information or receipt of new eligibility information.
• Act as liaison to outside collection agency to ensure payment collection and recovery.
• Report payments and adjustments as required.
• Establish mutually acceptable payment arrangements (budget plans) in accordance with policy and procedure.
• Maintain accounts to ensure promised payments are received and agreements are cancelled when broken.
• Print, review and mail budget plan contracts as per established policy and procedure.
• Assess accounts via PCS (Paperless Collection System) workfile to commence direct collections action by initiating phone calls (average of 3 calls per patient) to patient/guarantors according to guidelines established for Department and conveyed by Team Leader.
• Initiate budget plan, collection assignment, insurance rebill or charity process after determination of recovery.
• Communicate with all co-workers, insurance carriers, patients, etc. and maintain professionalism regardless of provocation by caller.
• Disperse information regarding Sharp HealthCare policies and procedures in a positive, accurate manner.
• Diffuse irate callers and/or transfer callers to Team Leader when appropriate.
• Process correspondence from patients, responding via customized letter, itemized statement or insurance re-billing as required.
• Document computer system with financial notes to indicate all actions taken.
• Demonstrate cooperation and teamwork via participation in other projects (i.e. special reports).
• Assist co-workers as needed in training, coverage, backlogs, and responding to the needs of the Department.
• Attend and actively participate in unit and staff meetings.
• Display positive, cooperative attitude.

Knowledge, Skills, And Abilities

• General knowledge of office procedures and ability to utilize resource materials in an organized manner.
• Ability to discuss personal and financial matters with patients and/or their representatives regarding credit, law, and collection policies and procedures.
• Familiarity with regulations governing collection proceedings and the release of confidential information.
• Previous experience with on-line computerized accounts receivable systems, including IDX.
• Demonstrated ability to communicate effectively both verbally and in writing.

Pay

The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant’s years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices.