Responsible for maintaining the accuracy and timely collections of self pay balances for multiple specialty departments. Self Pay Collectors will work in a high productivity paperless collection system environment contacting patients regarding balances due via predictive dialer. Self Pay Collectors must have a strong background in evaluating the ability of an individual to pay the balance due as well as be able to analyze the patient's financial resources to make a determination of how an account should be handled.
Working within general procedures and guidelines this individual will coordinate complex pro fee accounts to resolve issues through the understanding and application of collection techniques. This includes identifying key issues and taking the appropriate action to ensure revenue maximization on individual accounts. An understanding of medical billing, the IDX Billing System and knowledge of the various specialties is preferred. Strong emphasis will be placed on customer service and service excellence.
Principal Duties and Responsibilities:
Accurately resolve simple and complex account issues with the ability to understand and follow JHU policies, procedures, collection techniques and work rules. Identifies key issues and takes appropriate follow up actions to resolve account issues and ensure proper payment is received. Communicates with patients, physicians, insurance companies and other departments to resolve accounts. Works system collection reports such as: aged trial balances and bad address accounts.
Prints and mails claim forms and statements as requested. Operates standard office equipment, such as computer, copier and calculator. Uses relevant functions of IDX billing and various patient centric computer systems proficiently. Proficiency in process of initiating, recalling and rebilling accounts from collection agency.
Meets daily productivity goals as established by department. Proactively seeks to assist clients without being prompted. Process outgoing calls utilizing the predictive dialer system.
Assist with incoming calls utilizing the Avaya phone system when needed. Provides adequate advanced notice of absences whenever possible so that proper patient centric staffing can be maintained.
Comprehensive knowledge and compliance of HIPAA rules and regulations in the dissemination of patient Protected Health Information (PHI). Working knowledge of JHU/ PBS Billing Applications. Utilize online resources to facilitate efficient claims processing. Able to obtain information to respond to difficult patient and medical insurance inquiries. Works with responsible parties to arrange payment plans and performs follow-up.
Recommends and prepares delinquent accounts for referral to collection agencies or recommends account write-offs. Knowledgeable and proficient in use of the thirty-three points of "Magic".
Professional & Personal Development:
Participate in on-going educational activities. Assist in the training of staff. Keep current of industry changes by reading assigned material on work related topics. Complete three days of training annually
High School Diploma.
Two years experience in a specialty or medical environment. Excellent interpersonal, communication and customer service skills.
Capable of meeting deadlines and working well under pressure. 40 hour flexible working schedule to include some weekends and evenings.
Knowledge of medical terminology, CPT codes and diagnosis coding. In-depth knowledge of the medical insurance industry and professional fees.
Johns Hopkins University remains committed to its founding principle, that education for all students should be grounded in exploration and discovery. Hopkins students are challenged not just to learn but also to advance learning itself. Critical thinking, problem solving, creativity, and entrepreneurship are all encouraged and nourished in this unique educational environment. After more than 130... years, Johns Hopkins remains a world leader in both teaching and research. Faculty members and their research colleagues at the university's Applied Physics Laboratory have each year since 1979 won Johns Hopkins more federal research and development funding than any other university. The university has nine academic divisions and campuses throughout the Baltimore-Washington area. The Krieger School of Arts and Sciences, the Whiting School of Engineering, the School of Education and the Carey Business School are based at the Homewood campus in northern Baltimore. The schools of Medicine, Public Health, and Nursing share a campus in east Baltimore with The Johns Hopkins Hospital. The Peabody Institute, a leading professional school of music, is located on Mount Vernon Place in downtown Baltimore. The Paul H. Nitze School of Advanced International Studies is located in Washington's Dupont Circle area.