JOB SUMMARY: Verifies patient and guarantor demographic and employer information. Confirm that the dates of service are within the effective period for coverage. Ensures account is updated with correct financial class and patient class. Post complete and concise memos to A/R and ensures all data is keyed correctly in INVU. Reviews and documents all incoming insurance correspondence. Responsible for the collection of lien receivables, ensuring payments meet settlement guidelines. Works with patients, attorneys, auto carriers, as well as insurance providers through written correspondence and phone calls for the collection of moneys. Analyzes billing documents and remittance denials to check for errors. Responsible for account maintenance; calculating and keying contractual adjustments, obtaining and updating information, analyzing and evaluating all payments, etc. Responsible for negotiating and settling all lien accounts.
MINIMUM QUALIFICATIONS: 1. Education/Specialized Training/Licensure: High school diploma or GED 2. Work Experience (Years and Area): 4 years collection experience in medical setting or equivalency, must have collection agency experience and bad debt collections. 3. Management Experience (Years and Area): N/A 4. Equipment Operated: Must have PC, and basic skills on MS Excel, Word, and Outlook, 10-key by touch
SPECIAL REQUIREMENTS: 1. Communication Skills: Above Average Verbal (Heavy Public Contact) Bilingual Skills Required: No Writing /Composing (Correspondence/Reports)
2. Other Skills: Internet, Medical Terms, P.C., Typing (4500 KS)
3. Work Schedule: Flexible
4. Other Requirements: Basic knowledge of accounting and knowledge of government (Federal and State) payment methodologies. Ability to work independent and resolve accounts with little or no direction, handle stressful situations. Strong knowledge of the lien statute. Effective verbal and written skills and excellent people skills. Ability to maintain and log data accordingly. Must be able to interact successfully in a culturally diverse environment.
The Harris Health System is a fully integrated healthcare system that cares for all residents of Harris County, Texas. We are the first accredited healthcare institution in Harris County to be designated by the National Committee for Quality Assurance as a Patient-Centered Medical Home, and are one of the largest systems in the country to achieve the quality standard. Our system includes 23 community health centers, five school-based clinics, a dental center and dialysis center, mobile health units, a rehabilitation and specialty hospital and two full-service hospitals.Ben Taub Hospital is a world renowned Level I Trauma Center with 586 licensed acute-care beds and provides a wide range of specialty care outpatient services. Lyndon B. Johnson Hospital is a 328 licensed bed acute-care hospital with a newly expanded Level III trauma center and a distinguished regional center for neonatal intensive care for high-risk deliveries.Harris Health is a teaching system for Baylor College of Medicine and The University of Texas Health Science Center at Houston (UTHealth). We train the next generation of healthcare providers on the latest medical procedures and technological breakthroughs.With... our fully integrated electronic medical records system, we offer patients the convenience and assurance that their medical history is accurate, safe and available when and where it is needed. Our Medical Home designation ensures that we offer a full range of preventive, specialty and acute care services for the entire family.