Opportunity to grow as part of a Revenue Cycle Career Ladder!Job Summary:The Self-Pay Collections Specialist II is responsible for follow-up work on Self Pay account balances. Responsibilities include handling of inbound calls generated by an auto-dialer to secure payment, establish payment arrangements and/or obtain updated patient information. The Self-Pay Collections Specialist II must always exhibit professional and courteous behavior during communications.Unit: Pre-Service NYJob Responsibilities:
- Collect full payment from patient or guarantor.
- Apply payments collected over the phone to each date of service.
- Establish payment arrangements and document terms in billing system.
- Handle customer inquiries, disputes and complaints. Escalate to supervisor or higher management as needed
- Obtain insurance, demographic, guarantor information and update patient profile as well as bill third party payers as appropriate.
- Clearly document in system summary of work.
- Evaluate the patient's ability to pay for services.
- Create payment arrangements via cash, check, credit card or payment plan as appropriate.
- Utilize Epic estimator tool to provide estimates and collect upfront payments, deductible and copays.
- Obtain insurance information, check eligibility for active coverage and update patient accounts accordingly.
- Determine coverage for planned clinical services and calculate patient expected out of pocket expenses.
- Answer and return phone calls and other general office tasks.
- Perform other job duties as required.
Job Qualifications:
- High school graduate or GED certificate is required.
- A minimum of 1 years' experience in a physician billing or third-party payer environment.
- Candidate must demonstrate a strong customer service and patient focused orientation and the ability to communicate, adapt, and respond to complex situations. Including the ability to diffuse complex situations in a calm and professional manner.
- Must demonstrate an understanding of contracts, insurance benefits, exclusions and other billing requirements as well as claim forms, HMOs, PPOs, Medicare, Medicaid and compliance program regulations.
- Candidate must demonstrate the ability to understand and navigate the payer adjudication process.
- Must demonstrate effective communication skills both verbally and written.
- Functional proficiency in computer software skills (e.g. Microsoft Word, Excel and Outlook, E-mail, etc.)
- Patient financial and practice management system experience in Epic and or other of electronic billing systems is preferred.
- Knowledge of medical terminology is preferred.
- Previous call center experience and/or claims experience is preferred.
- Previous experience in an academic healthcare setting is preferred.
Hourly Rate Ranges: $22.78 - $30.77Note: Our salary offers will fall within these ranges based on a variety of factors, including but not limited to experience, skill set, training and education.61st Street Service CorporationAt 61st Street Service Corporation we are committed to providing our client with excellent customer service while maintaining a productive environment for all employees. The Service Corporation offers a competitive comprehensive Benefit package to eligible employees; including Healthcare and various other benefits including Paid Time off to promote a healthy lifestyle.We are an equal employment opportunity employer and we adhere to all requirements of all applicable federal, state, and local civil rights laws.