Billing Customer Service Representative
Job description
The Patient Accounts Analyst, Self-Pay is the key liaison between the hospital billing process and the outsourced self-pay and collection follow-up. This position coordinates contact and continued communications ensuring the highest level of customer service to our patients. The Patient Accounts Analyst, Self-Pay will provide any training needed for the agency staff members. Daily, weekly, and monthly balancing reports will be developed, implemented and used on a scheduled basis to ensure that accounts on the outsource system are in synch with the hospital’s Accounts Receivable system. Accounts will be analyzed and the proper write-off recommended and keyed accurately to the system. Any necessary log files will be maintained. This position will interact with patients on escalating issues related to self-pay billing to ensure that all questions are answered and issues resolved timely.
HOURS: 8:00AM-4:30PM
Duties and Responsibilities
- Secures and analyzes information concerning patients’ insurance coverage and/or abilities to meet hospital expenses.
- Answers questions and resolves problems involving complex patient billing or collection circumstances.
- Conducts follow-up reviews of patient accounts which have been billed to third-party payers to ensure that payments are being received.
- Evaluates patients’ files and makes recommendations of accounts to be referred to collection agencies or attorneys.
- Counsels patients and/or relatives in the more complex or sensitive situations related to self-pay collections.
- Works with various hospital managers, state agencies, insurance companies, patients and custodians to ensure that all charges for hospital services are paid from the appropriate sources.
- Develops balancing reports and ensures that accounts placed with outsource partners are in synch with the hospital’s A/R system.
- Ensuring that accounts are not lost in process is critical to timely collection activity and are processed on a scheduled basis.
- Acts as the key liaison with an assigned outsource agent. The Patient Accounts Analyst, Self-Pay is the key person to build a relationship with this vendor to ensure continuous and smooth communications so that we serve our patients to the highest level of quality and customer service.
- Provides training and education as needed for agency staff members.
- Keeps agency informed of system upgrades, scheduled downtimes or any other potential disruptions.
- Reviews and approves contractual adjustments and write-offs according to policy and procedures.
- Ensures that any write-offs are properly categorized and recorded into the correct classification of bad debt or charity care.
- Any databases or logs of write off activity are maintained accurately and completely.
Requirements:
- High School Diploma or GED Required
- 1-3 years of relevant experience required
- Experience with Paragon, verification systems, EC2000
- Microsoft Word, Excel, Access Experience Required
About Lowell General Hospital:
Lowell General Hospital is an independent, not-for-profit community hospital serving the Greater Lowell area and surrounding communities. With two primary campuses located in Lowell, Massachusetts, we are the second-largest community hospital in Massachusetts. We have the latest state-of-the-art technology and a full range of medical and surgical services for patients, from newborns to seniors.
Tufts Medicine Lowell General Hospital is an Equal Opportunity Employer.
Location: Tufts Medicine Lowell General Hospital · Patient Accounts
Schedule: Full Time, Days
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