Job Details

Description

ABOUT AUSTIN REGIONAL CLINIC:

Austin Regional Clinic has been voted a top Central Texas employer by our employees for over 15 years! We are one of central Texas’ largest professional medical groups with 35+ locations and we are continuing to grow. We offer the following benefits to eligible team members: Medical, Dental, Vision, Flexible Spending Accounts, PTO, 401(k), EAP, Life Insurance, Long Term Disability, Tuition Reimbursement, Child Care Assistance, Health & Fitness, Sick Child Care Assistance, Development and more. For additional information visit https://www.austinregionalclinic.com/careers/

PURPOSE

Collects aged self pay account balances in accordance with company financial policy. Performs all collections duties within the company HIPAA compliance policy in a professional, respectful and courteous manner. Carries out all duties while maintaining compliance and confidentiality and promoting the mission and philosophy of the organization.

Essential Functions

• Reviews aged self pay aging accounts to ensure balance accuracy.
• Ensure billing and demographic information is correct and determining if balances should be referred to an external Collection Agency.
  
  

Payment Plans

• Monitors payment plan workqueue(s) accounts for timely payments.
• Generates appropriate collection letters requesting payment for services rendered or regarding future service notification.
• Establishes payment plans in accordance with Payment Agreement guidelines.
• Sets up accounts with payment plan information and clearly documents the terms of the agreement.
• Refers accounts to external Collections Agency due to payment plan default or non-payment, in accordance with collection workflow.
• Receives and processes patient/responsible party correspondence requesting payment plans or credit card payments.
• Assists Patient Accounts Representatives Clinic Representatives for all billing inquiries and payment plans.
  
  

Collections

• Utilizes Provider or Hospitalist websites to obtain insurance information.
• Researches insurance and patient/responsible party payments/credits prior to referring to a collection agency. Review entire account for undistributed credits and possible billing discrepancies.
• Reviews eob’s and applies appropriate contractual adjustments as necessary, to ensure account accuracy prior to referring to a collection agency placement.
• Reviews automated claims forms and edits as necessary to reflect complete, accurate information.
• Files claims to insurance carriers when insurance information is obtained.
• Processes returned mail and attempts to contact patients to obtain updated demographic and/or billing information. Refers returned mail accounts which there is no contact/unable to locate to an external collection agency.
• Respond to account balance disputes in a timely manner and informs patient of audit results.
• Contacts patient/responsible party to attempt to collect or establish payment agreement on outstanding balances.
• Determines if accounts should be referred to an external collections agency due to lack of payment and/or patient/responsible party response to collection letters and/or outbound telephone calls.
• Return patient telephone calls and respond to patient correspondence in a timely manner.
• Ensure patient/responsible party is over the age of eighteen or determined an emancipated minor prior to agency referral.
• Notifies collection agency of payments, documents account activity and applies the appropriate account adjustment(s).
• Notifies collection agency of accounts to be canceled or placed on hold status, as requested by management.
• Notifies collection agency of inaccurate guarantor or billing information.
• Responsible for maintaining NSF/returned check workqueue according to NSF policy and procedure guideline.
• Complete dismissal process for patients Termed for Collections, including cancelling scheduled appointments.
• Consults with supervisor prior to offering negotiated discounts or settlements on outstanding self pay balances.
• Adheres to all company policies, including but not limited to, OSHA, HIPAA, compliance and Code of Conduct.
• Regular and dependable attendance.
• Follows the core competencies set forth by the Company, which are available for review on CMSweb.
  
  

Other Duties And Responsibilities

• Maintains complete, accessible, dated files.
• Provides assistance to co-workers as requested and/or necessary in a professional and courteous manner.
• Provides workload statistic reports to management team.
• Responds professionally and courteously to billing inquiries from all sources, i.e., patient, insurance representative, Provider or Management team.
• Assist with other Central Billing Office areas to ensure office telephone coverage and work duties in order to meet department needs.
• Performs other duties as assigned.
  
  

Qualifications

Education and Experience

Required: High school diploma or GED.

Preferred: Experience using computer data processing systems. Experience working with accounts receivables. Experience with medical billing collections.

Knowledge, Skills And Abilities

• Knowledge of and/or experience with procedural and diagnostic coding.
• Knowledge of patient copay vs. cost share responsibility.
• Knowledge of legislative and private sector third party regulations and guidelines.
• Ability to sit for extended periods of time at a computer workstation.
• Ability to engage others, listen and adapt response to meet others’ needs.
• Ability to align own actions with those of other team members committed to common goals.
• Excellent computer and keyboarding skills, including familiarity with Windows.
• Excellent verbal and written communication skills.
• Ability to manage competing priorities.
• Ability to perform job duties in a professional manner at all times.
• Ability to understand, recall, and communicate, factual information.
• Ability to understand, recall, and apply oral and/or written instructions or other information.
• Ability to organize thoughts and ideas into understandable terminology.
• Ability to apply common sense in performing job.
  
  

Work Schedule: Monday through Friday from 8am to 5pm.

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