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    Collector/ Revenue Cycle Consumer Center - San Diego, United States - Sharp Healthplan

    Sharp Healthplan
    Sharp Healthplan San Diego, United States

    3 weeks ago

    Default job background
    Full time
    Description
    Hours


    Shift Start Time:
    8 AM


    Shift End Time:
    4:30 PM


    Additional Shift Information:

    Weekend Requirements:
    No Weekends


    On-Call Required:
    No

    Hourly Pay Range (Minimum - Midpoint - Maximum):
    $ $ $33.527

    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.

    What You Will Do


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

    Essential Functions


    • Agency Assignment
    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.


    Based on retroactive review of financial information or receipt of new eligibility information, prepare and/or report cancellations to outside agencies.

    Act as liaison to outside collection agency to ensure payment collection and recovery.

    Report payments and adjustments as required.

    • Budgets
    Establish mutually acceptable payment arrangements (budget plans) in accordance with policy and procedure.

    Budget plan edit list worked in a timely manner.

    Ensure payment arrangements exceeding policy are reviewed by Team Leader.

    Monitor 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.

    • Collections


    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.

    • Communication
    Communicate with all co-workers, insurance carriers, patients, etc. and maintain professionalism regardless of provocation by caller.

    Dispense information regarding Sharp HealthCare policies and procedures in a positive, accurate manner.

    Diffuse irate callers and/or transfer callers to Team Leader when appropriate.

    • Correspondence and reports
    Demonstrates cooperation and teamwork via participation in other projects (i.e. special reports). Assists co-workers as needed in training, coverage, backlogs, and responding to the needs of the Department.

    Attends and actively participates in unit and staff meetings.

    Displays positive, cooperative attitude.

    By assigned alpha designation, 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.

    • Demonstrates initiative
    Demonstrates self-motivation.

    Works independently with minimal supervision.

    Demonstrates adaptability/flexibility in working with patients and in work assignments.

    Accepts responsibility in areas related to position duties. Attends available education classes and seminars as they arise.

    Required Skills and Qualifications


    • High school graduate or equivalent is required. Please include this information on the "education" section of your application.
    • 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.
    • Minimum 2 years experience in all areas of medical billing and collections is preferred but not required.
    Preferred Qualifications


    • 2 Years Experience in all areas of medical billing and collections with demonstrated above-standard performance
    • Call center experience
    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.
    Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class
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