JOB SUMMARY

At Houston Methodist, the Commercial Collector position is responsible for ensuring that the organization’s financial viability is protected at the most basic level by securing accurate and timely payments. This position performs ongoing monitoring of assigned accounts to ensure maximization of collection dollars by providing appropriate follow-up and documenting actions taken. This position has direct contact with other Houston Methodist departments and insurance companies and must demonstrate strong interpersonal and persuasive abilities in order to promote teamwork and cooperation as well as secure accurate and timely payment from third party payors.

PRIMARY JOB RESPONSIBILITIES

Job responsibilities labeled EF capture those duties that are essential functions of the job.

PEOPLE - 20%

• Promotes a positive work environment and contributes to a dynamic team focused work unit that actively helps one another to achieve optimal department and organizational results. (EF)
• Strikes a balance between maintaining trustful relationships and ensuring timely payments. Exhibits professionalism and trustworthiness. (EF)

SERVICE - 20%

• Reviews incoming correspondence and takes appropriate action. Responds promptly to payor’s request for additional information/documentation. Confers with Billers, as necessary, to obtain additional information/clarification. (EF)
• Informs manager of payer trends or any problems or changes in payor requirements, including any barriers or obstacles. (EF)

QUALITY/SAFETY - 20%

• Obtains corrected information and requests rebills as needed. (EF)
• Provides clear and concise documentation of every action taken on an account in the system collection notes. Provides balance breakdown to document the status of next responsible party (i.e., primary, secondary payor, patient balance, or credit balance). (EF)
• Effectively manages inventory in accordance with departmental standards. Identifies accounts for advanced due diligence steps or legal placement. (EF)
• Meets or exceeds stated Performance Indicator Expectations (e.g., productivity, account reviews, aging) as demonstrated on weekly Key Performance Indicator. (EF)

FINANCE - 20%

• Follows up on assigned delinquent insurance claims. Ensures maximization of collection dollars from insurance companies in accordance with the respective contract and/or Houston Methodist financial arrangement. (EF)
• Analyzes accounts for errors, adjustments and credits, issuing corrected entries when necessary. Updates account information accordingly. Follows levels of authority for posting adjustments, refunds, and contractual allowances. (EF)
• Uses resources effectively and efficiently. Organizes time effectively, minimizing incidental overtime, and sets priorities. Utilizes time between heavy workloads efficiently and helps other team members. (EF)

GROWTH/INNOVATION - 20%

• Stays current on collection procedures of various payors and industry trends. Seeks opportunities to expand learning beyond baseline competencies with a focus on continual development. (EF)
• Generates and communicates new ideas and suggestions that will improve quality or service. Demonstrates adaptability and flexibility in the face of changing demands. (EF)

This job description is not intended to be all inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises.

EDUCATION REQUIREMENTS

o High School diploma or equivalent education (examples include: GED, verification of homeschool equivalency, partial or full completion of post-secondary education, etc.)

EXPERIENCE REQUIREMENTS

o Two years of experience in commercial insurance follow-up, preferably in hospital accounts receivable