Self-Pay Collection Rep

Responsibilities

• Maintains a detailed knowledge of billing requirements and regulations to ensure compliance with federal and state regulations.
• Represents the department and Strong Memorial Hospital (SMH), Highland Hospital and Medical Faculty Group (MFG) in a professional manner, protecting confidentiality of patient information at all times.
• Makes independent decisions as to the processes necessary to collect and resolve billing issues.
• Acts as a collection agency liaison to ensure accounts are following the self-pay cycle, terms of contract are being adhered to, and service levels are being met.
• Monitors collection agency referrals/assignments and return files.
• Reviews and processes collection agency invoices/remits.
• Reviews and resolves discrepancies related to collection agency reconciliation files.
• Reviews and responds to collection agency correspondence, inquiries, questions, etc.
• Reviews and responds to settlement offers on collection agency accounts.
• Reviews and resolves credit balances related to self pay accounts to decrease the amount of credit balances currently in the self pay receivables.
• Acts as a back-up for other Self-Pay duties to provide cross coverage.

Requirements

• Associate's degree in Business Administration or an equivalent combination of education and experience.
• 2 years of hospital patient accounting or consumer collections experience, or certification obtained from a nationally accredited billing program (e.g., Certified Medical Billing Specialist CMBS, Certified Medical Records Technician CMRT, Certified Medical Reimbursement Specialist CMRS).

Qualifications

• Working knowledge of Microsoft Word and Excel.
• A general knowledge of researching information via using the web.