High school graduate or equivalent required. Post high school education preferred.
Two to three years medical billing and collection experience, with understanding of medical insurance product guidelines.
Effective verbal, written, and interpersonal communication skills with the ability to comfortably interact with diverse populations.
Ability to demonstrate competency with a standard desktop and Windows-based computer system, including a basic understanding of email, e-learning, intranet and computer navigation. Must have knowledge and ability to learn, access and utilize the relevant computer programs listed below within 90 days of hire:
Ability to exercise independent judgment within scope of knowledge and responsibility.
Acts as a resource to ensure patient accounts are accurate and handled appropriate for: prior authorizations, Acts as a resource for collection issues. Is responsible for a variety of collections processes, including but not limited to: performing general collection functions; keeping abreast of trends and/or regulation changes in collections process; and sending, verifying, and balancing on-site collections.
This position's primary customers are the practices of Munson Physician Network. This position reports to the Director of the Professional Billing Office.
Supports the Mission, Vision and Values of Munson Healthcare
Embraces and supports the Performance Improvement philosophy of Munson Healthcare.
Promotes personal and patient safety.
Has basic understanding of Relationship-Based Care (RBC) principles, meets expectations outlined in Commitment To My Co-workers, and supports RBC unit action plans.
Uses effective customer service/interpersonal skills at all times.
Sends patient statements on a weekly basis.
Monitors patient A/R and sends patient responsible balances to appropriate collection agencies per department guidelines.
Posts patient payments and collection agency vouchers according to identified departmental standards.
Answers incoming calls pertaining to inquiries regarding patient responsible balances.
Documents all activity on accounts appropriately to ensure account maintenance is up to date for other staff members and insurance follow up.
Acts as a resource for collection issues to the practices, patients, insurance companies and collection agencies.
Prepares account data needed for court-related circumstances; appears in court representing Munson Medical Group as required.
Reviews all Bankruptcy declarations and applies patient balance adjustments in accordance with the bankruptcy judgment.
Keeps abreast of trends and changes in regulations in collection processes.
Communicates with offices, billing staff and collection agencies.
Runs and analyzes reports for collection accounts, and identifies and communicates issues
Performs other duties as assigned.