Patient Accounts Specialist - Full-time

gbmc; Padonia (KS); On-site; USD 24,000 - 36,000; Full time

Job summary

GBMC HealthCare is seeking a Collections Specialist to support the collections/self-pay team. Under direct supervision, you will follow up on patient and insurance balances, handle court appearances for co-pays, deductibles, or coinsurances, and ensure accurate posting and billing corrections.

You will need HS or GED, at least one year in admin, six months in billing/collections, and strong communication and math skills to navigate third-party payers and ensure timely resolutions in a healthcare

Qualifications

• HS or GED required.
• One year of administrative experience required.
• 6 months of direct billing or collections experience preferred.
• One year of customer service experience, preferably in healthcare or insurance.

Responsibilities

• Follows-up on patient and insurance balances via telephone contacts, online follow-up and appropriate collection letters.
• Ensures secondary billing on accounts with secondary liability and follows up on unpaid balances.
• Processes rejections and inquiries from third party payers; provides corrected data and resubmits bills.
• Ensures late charge billing and proper posting to accounts.
• Responds to patient and third party payor inquiries/complaints via telephone, mail and in person.
• Reconciles third party payment vouchers to ensure proper reimbursement.
• Represents GBMC in court for collection of co-pays, deductibles or coinsurances.
• Occasional travel to court sites for appearances.

Skills

Collection procedures

Written and oral communications

Arithmetic calculations

Education

HS or GED

Job description

Under direct supervision, performs all collection functions on account balances within assigned financial classes. Those on the collections/self-pay team will also be required to serve as a representative of GBMC in court for collection of co-pays, deductibles or coinsurances.

Education

• HS or GED

Experience

• One year of administrative experience, 6 months of direct billing or collections experience preferred and 1 year of customer service, preferably in a healthcare or insurance environment.

Skills

• Knowledge of collection procedures, laws, rules and regulations
• Skill in written and oral communications
• Skill in performing arithmetic calculations

Physical Requirements

• Ability to concentrate and pay close attention to detail.
• Ability to sit for long periods of time.

Working Conditions

• Normal office work environment
• Those working on the collection/self-pay team will be required to occasionally travel to/from court sites (throughout Maryland) for court assigned appearances.

Principal Duties and Responsibilities

• Follows-up on patient and insurance balances via telephone contacts, on-line follow-up and appropriate collection letter utilization within assigned timeline and in accordance with assigned work lists.
• Ensures secondary billing on accounts with secondary liability, follows-up on any unpaid balances.
• Processes rejections and inquiries from third party payers. Provides corrected data and resubmits bills as necessary.
• Ensures late charge billing and proper posting to accounts.
• Responds to patient and third party payor inquiries/complaints regarding patient accounts via telephone, mail and in person.
• Reconciles third party payment vouchers, ensuring proper reimbursement.
• Identifies and communicates problems, issues and negative trends for third party payers to the team coordinator or supervisor for investigation.
• Those on the collections/self-pay team will also serve as a representative of GBMC in court for collection of co-pays, deductibles or coinsurances.

All roles must demonstrate GBMC Values

• Respect
  I will treat everyone with courtesy. I will foster a healing environment.
  Treats others with fairness, kindness, and respect for personal dignity and privacy
  Listens and responds appropriately to others' needs, feelings, and capabilities
• Excellence
  I will strive for superior performance in every aspect of my work. I will recognize and celebrate the accomplishments of others.
  Meets and/or exceeds customer expectations
  Actively pursues learning and self-development
  Pays attention to detail; follows through
• Accountability
  I will be professional in the way I act, look and speak. I will take ownership to solve problems.
  Sets a positive, professional example for others
  Takes ownership of problems and does what is needed to solve them
  Appropriately plans and utilizes required resources for various job duties
  Reports to work regularly and on time
• Teamwork
  I will be engaged and collaborative. I will keep people informed.
  Works cooperatively and collaboratively with others for the success of the team
  Addresses and resolves conflict in a positive way>Seeks out the ideas of others to reach the best solutions
  Acknowledges and celebrates the contribution of others
• Ethical Behavior
  I will always act with honesty and integrity. I will protect the patient.
  Demonstrates honesty, integrity and good judgment
  Respects the cultural, psychosocial, and spiritual needs of patients/families/coworkers
• Results
  I will set goals and measure outcomes that support organizational goals. I will give and accept help to achieve goals.
  Embraces change and improvement in the work environment>Continuously seeks to improve the quality of products/services
  Displays flexibility in dealing with new situations or obstacles
  Achieves results on time by focusing on priorities and manages time efficiently

Pay Range$17.35 - $26.36 Final salary offer will be based on the candidate's qualifications, education, experience and alignment with our organizational needs.

GBMC HealthCare and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.