Collections Technician

Dilkon Medical Center | Winslow Indian Health Care; Arizona; On-site; USD 36,000 - 48,000; Full time

Job summary

Dilkon Medical Center | Winslow Indian Health Care is seeking a Collections Technician to support accounts receivable through follow-up on outstanding patient accounts. Under general supervision, you will pursue payment and review remittance advice, assisting with denials and re-bills as needed.

The role requires knowledge of ICD-10/CPT coding, RPMS programs, and payer types, with bilingual English/Navajo preferred.

Qualifications

• Knowledge of federal and state regulations related to billing and collections.
• Knowledge of ICD-10 and CPT coding and ability to interpret denials.
• Familiarity with RPMS components: Third Party, Accounts Receivable, and Patient Registration.
• Understanding of Medicaid, Medicare, private insurance and other third-party payers.
• Proficient in Outlook, Word, Excel and PowerPoint; confidentiality mandatory.

Responsibilities

• Reviews patient accounts to determine status and makes necessary adjustments.
• Reviews remittance advice and explanation of benefits for denials and re-bills as needed.
• Verifies claims posted through RPMS.
• Reviews delinquent accounts and follows up with responsible parties by phone and mail.
• Tracks productivity and reports weekly for performance metrics.

Skills

Regulatory knowledge

ICD-10 CPT coding

RPMS programs

Payer knowledge

Communication skills

Education

High School or GED

Tools

Outlook

Word

Excel

PowerPoint

Job description

Under general supervision of the Medical Billing Supervisor with in-direct supervision by the Revenue Cycle Manager, the Collections Technician is responsible for accounts receivable support through the follow-up process of all outstanding patient accounts. This position is accountable for pursuing all avenues of payment, which could result in the maximum reimbursement to WIHCC. Uphold the principles of WIHCC’s Vision, Mission, and Value Statements. Maintains confidentiality of all privileged information at all times.This list of duties and responsibilities is illustrative only of the tasks performed by this position and is not all-inclusive.Essential Duties & Responsibilities:Maintains regular attendance and punctuality.Responsible for cross-training with all payers under Medical, Dental, and Workers Compensation/motor vehicle accident when needed.Reviews patient accounts to determine status; makes adjustments that require analysis, prepares and processes a variety of documents necessary for all outstanding accounts.Reviews remittance advice, explanation of benefits for denials and re-bill as needed.Verifies claims posted through RPMS.Reviews delinquent accounts following up with responsible parties via telephone and correspondence.Makes collection calls for all other resources following timely review of A/R aging.Tracks/Reports productivity weekly for reporting measures.Responsible for assigning proper codes, ICD-10, CPT, and HCPCS coding for reimbursement.Attends meetings related to Billing and Coding.Requires completion of tasks or duties assigned by a supervisor.Upholds all principles of confidentiality and patient care to the fullest extent.Adheres to all professional and ethical behavior standards of the healthcare industry.Adheres to WIHCCs Personnel Policies and Procedures, departmental policies, rules, and regulations.Interacts in an honest, trustworthy, and dependable manner with patients, employees, visitors, and vendors.Possesses cultural awareness and sensitivity.Maintains compliance with all Human Resources requirements.Performs other duties as assigned.Minimum Qualifications:High School or GED required. One year of Medical Billing and/or Collections experience. Bilingual skills in English and Navajo language preferred. Must maintain a valid unrestricted and insurable driver’s license. Must successfully pass a background investigation and maintain suitable requirements for a Child Care position. This position is considered as a Child Care position, which requires a satisfactory background check investigation and is subject to the requirements of the Indian Child Protection and Family Violence Prevention Act, as amended (henceforth referred as the ICPFVP Act).Knowledge, Skills, AbilityKnowledge of applicable federal and state regulations.Knowledge of ICD-10 and CPT coding, which includes the ability to interpret and resolve problems.Knowledge of RPMS programs such as Third Party, Accounts Receivable, and Patient RegistrationKnowledge of Medicaid, Medicare, Private Insurance and other Third Party PayersKnowledge of strong work ethics in the workplace.Knowledge of the primary application of confidentiality.Knowledge of necessary computer skills, e.g., Outlook, Word, Excel, PowerPoint.Ability to comply with the Privacy Act of 1976 and the Health Insurance Portability Accountability Act of 1996.Ability to work under pressure of dealing with multiple tasks, reports, and constant deadlines, while maintaining an attention to detail and accuracy.Ability to be dependable in attendance and job performance.Ability to meet attendance, overtime (if necessary), and other reliability requirements of the job.Ability to accept and learn from feedback.Ability to communicate effectively both verbally and in writing.Ability to provide exemplary customer service at all times.Ability to interact positively with others and possess excellent interpersonal skills.Ability to multitask and perform well under pressure.Ability to have self-confidence.Ability to be a great team player.Ability to accept and learn from supervisor/peer critique.Ability to be flexible and adaptable to the changing needs of the organization.Physical Demands:While performing the essential functions of this position, the employee is regularly required to walk, sit, use hands and fingers, handle, or feel objects and equipment, reach with hands and arms, and communicate effectively by talking and hearing. The employee frequently must stand, climb, balance, stoop, kneel, crouch, or crawl and may occasionally use taste or smell. The employee must occasionally lift and/or move objects weighing up to 50 pounds.Work Environment:Work is performed in an office setting or outdoor work environment with moderate noise levels. Work environment may involve exposure to physical risks, such as blood borne pathogens, hazardous chemicals, or operating potential dangerous equipment, and requires adherence to all safety protocols. Required work schedules may include evening, weekend, overnight shifts, extended hours, or irregular schedules as operational needs dictate.As required by P.L. 93-638, absolute preference will be given to qualified Navajo applicants. If there is no qualified Navajo applicant, preference will be given to qualified American Indian applicants.