Self Pay Collector 1

Carle-Health; Champaign (IL); On-site; USD 24,000 - 39,000; Full time

Job summary

Carle Health is seeking a Self Pay Collector 1 to manage hospital and professional accounts receivable, ensuring HIPAA compliance and accurate record-keeping. You will call patients, explain self-pay processes, set up payment plans, and assist with financial aid options while delivering empathetic customer service.

The role requires at least a high school diploma and about one year of healthcare AR experience, with proficiency in Microsoft Office and receivables systems.

Qualifications

• One year experience in health care required or a high performer as an Accounts Receivable Representative 1.
• Proficient with Word, Excel, Outlook and Receivables Management systems.

Responsibilities

• Contact patients via phone, email, or mail to collect outstanding balances.
• Works account work queues to perform collection activities, investigate balances, request money be moved, ensure statement delivery and send inquiries on outstanding self-pay receivables.
• Initiate and follow up on patient contact via phone, email, and written correspondence to resolve outstanding balances. Resolves patient underpayments, no payments, overpayments and undistributed payments for proper allocation.
• Set up and monitor payment plans in accordance with established guidelines.
• Provides financial counseling and assistance with the Carle Financial Assistance program and other discount opportunities with patients when applicable.
• Identifies and resolves billing and insurance errors to facilitate accurate and timely billing.
• Maintain confidentiality and comply with HIPAA regulations.
• Provide excellent customer service, with the ability to handle sensitive financial conversations with empathy and professionalism.
• Recommend an adjustment when applicable or recommend a refund for overpayments to insurance carriers or patients, providing the appropriate documentation.
• Identity problem accounts and elevate as appropriate.
• Inform patients explicitly of their obligation to pay for services and notate accounts accurately. Accurately updates demographic, insurance, and billing information for patients.
• Identifies and reports account corrections needed for guarantor number changes (GNC's) double registrations, and other account build issues in the practice management system.
• Responsible for meeting and exceeding departmental productivity quality assurance standards. Performs other duties as assigned.

Skills

Customer service

Empathy

Communication

Attention to detail

Education

Highschool Diploma or GED

Tools

Microsoft Office

Job description

Overview

The Self Pay Collector 1 manages the accounts receivable for both hospital and professional accounts in accordance with compliance, regulatory and billing guidelines and specific payer rules. Maintains accurate and confidential records in compliance with HIPAA and organizational policies. Responsible for collection of outstanding receivables. Meets daily productivity and quality expectations and participates openly in departmental audit/review processes to ensure that all work is monitored and completed based on departmental standards. Responsible for making outbound calls to patients, communicating the self-pay billing process, setting up payment arrangements, validating insurance coverage and attaching insurance to claims. In addition, answers, documents, and completes inquiries from patients. Delivers exceptional customer service while guiding patients through their financial responsibilities.

Qualifications

Educational Requirements

Highschool Diploma or G.E.D

Experience Requirements

• One (1) year experience in health care required or a high performer as an Accounts Receivable Representative 1. Credit and collection experience preferred. Proficient computer knowledge related to Microsoft Office applications such as Word, Excel, Outlook and Receivables Management systems.

Other Requirements

Possesses the “other knowledge and skills” of the Accounts Receivable Representative 1. Additionally, has the ability to critically think and solve complex problems and issues with minimal or no supervision.

Responsibilities

• Contact patients via phone, email, or mail to collect outstanding balances.
• Works account work queues to perform collection activities, investigate balances, request money be moved, ensure statement delivery and send inquiries on outstanding self-pay receivables.
• Initiate and follow up on patient contact via phone, email, and written correspondence to resolve outstanding balances. Resolves patient underpayments, no payments, overpayments and undistributed payments for proper allocation.
• Set up and monitor payment plans in accordance with established guidelines.
• Provides financial counseling and assistance with the Carle Financial Assistance program and other discount opportunities with patients when applicable.
• Identifies and resolves billing and insurance errors to facilitate accurate and timely billing.
• Maintain confidentiality and comply with HIPAA regulations.
• Provide excellent customer service, with the ability to handle sensitive financial conversations with empathy and professionalism.
• Recommend an adjustment when applicable or recommend a refund for overpayments to insurance carriers or patients, providing the appropriate documentation.
• Identity problem accounts and elevate as appropriate.
• Inform patients explicitly of their obligation to pay for services and notate accounts accurately. Accurately updates demographic, insurance, and billing information for patients.
• Identifies and reports account corrections needed for guarantor number changes (GNC's) double registrations, and other account build issues in the practice management system.
• Responsible for meeting and exceeding departmental productivity quality assurance standards. Performs other duties as assigned.

About Us

Find it here.

Discover the job, the career, the purpose you were meant for. At Carle Health, we're committed to fostering a workplace where every team member feels valued, respected and empowered, where passion and purpose come together to positively impact the lives of our patients and our communities. Find it all at Carle Health.

Our nearly 17,000 team members and providers work together to support patient care across central and southeastern Illinois. We’ve grown to include eight, award-winning hospitals and a multispecialty provider group with more than 1,500 doctors and advanced practice providers. We’re developing the next generation of providers and healthcare professionals through Carle Illinois College of Medicine, the world’s first engineering-based medical school, and Methodist College. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet designations, the nation’s highest honor for nursing care. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: [e-mail].

Compensation and Benefits

The compensation range for this position is $17.26per hour - $27.96per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate’s experience, qualifications, location, training, licenses, shifts worked and compensation model.

• Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits.