Using reports, tools, and other resources provided by PSA, the successful candidate in this position is responsible for the proper and complete handling of all aged patient accounts for the sole purpose of collecting the very highest possible percentage of every billed account. This position maintains close contact with branch location personnel while constantly and consistently attempting to ensure maximum payment from all payers is received timely. This includes payment for all primary, secondary, tertiary or any other payer for all billed accounts including any and all guarantors for services provided. This is inclusive of claims to commercial, Medicare, Medicaid and private pay accounts
Key Results Expected (Essential Job Duties):
Works and collects delinquent A/R accounts
Documents collection efforts in Encore notes screens to include payor contacts, phone numbers, issues, actions taken, etc.
Maintains current AR at an acceptable percent.
Maintains DSO at an acceptable level.
Achieves cash goal on a quarterly basis.
Keeps supervisor, and branch location personnel informed of any significant collection payor or processing issues.
Submits adjustments in an accurate and timely manner.
Requests Bridge Tickets to correct and update Encore.
Works with Biller to ensure claims are refiled and/or billed to the second insurance in a timely manner.
Understands payor specific requirements for submitting claims (i.e. includes CMN's, nursing notes, invoices, etc.).
Understands and enforces SOX 404 controls
Reviews and responds to correspondence received from payors.
Reviews and submits guarantor statements as required. Responds to questions from patients regarding statements.
Addresses denials in an accurate and timely manner.
Completes document request forms and forwards to location as required.
Provides exceptional customer service.
Other duties as assigned by supervisor.
Work Completion Techniques (how work gets done):
Evaluates data, reports, feedback, observations and other information in determining priorities.
Uses prior knowledge and industry specific, historical experiences in resolving problems.
Conducts all assignments as a professional and role model with a sense of urgency.
Uses professional communication and conflict resolution techniques as required.
References and reflects upon the Company mission, values, and strategic imperatives in completing and/or assigning all work.
High school diploma or equivalent.
Minimum six (6) month prior healthcare insurance experience.
Effective verbal and written communication skills.
Computer literate and ability to type, file and maintain audit records.
Special Requirements (skills, education, licenses, etc.):
Must be able to perform movements that regularly require repetitive use of the wrist(s), hand(s) and or finger(s) approximately 80-90% of the workday
Finger dexterity to perform typing, picking up small objects, etc. approximately 80-90% of workday.
Must be able to verbally communicate instructions or other information as required approximately 80-90% of workday.
Must have adequate visual abilities to prepare, inspect documents or operate office machinery approximately 100% of workday.
Must be able to exert physical strength and occasionally lift up to 25 pounds and/or frequently up to 15 pounds.
Must be able to hear average or normal tone conversations and understand/interpret noises or spoken information.
Must be able to bend, turn/twist, kneel, squat 30-40% of each workday.