Collections Analyst – Revenue Cycle

Job DescriptionSUMMARY STATEMENT: Follow-up Collector The Follow-Up Collections Representative is responsible for reviewing inpatient and outpatient claims to ensure maximum collection dollars by providing appropriate follow-up and documenting actions taken. Major functions include managing a portfolio of assigned accounts, responding to correspondence, and heavy telephone contact to ensure timely follow-up and account resolution. The follow-up collector must have the ability to perform all needed duties in the patient accounting system. Skilled in usage of all Microsoft and other programs as defined by Patient Business Services Management staff. TYPE OF SUPERVISION RECEIVED: Daily Meetings as needed. Weekly Unit Meetings and/or Monthly Unit Meetings; Direct review of daily production and other production based reports in an effort to validate staff usages needs, portfolio reduction efforts , customer service and staff morale. ADMINISTRATIVE DUTIES – Understands billing / follow up and collection procedures and is to balance all accountscorrectly. Follows up on previously billed accounts by reviewing accounts on a biweekly ormonthlybasistodeterminepossiblesourcesofpaymentorpaymentissues. Reviews insurance correspondence / mail backs and responds torequests. Contacts other RevenueCycle departments to gain information necessary to address payment issues asneeded. Contacts patient to obtain involvement to provide missing documentation, to trackdelayedinsurancepaymentand/ortocollectpatientliabilityportionofbill. Forwards statements and/or form letters to patients advising of account status and indicating any action which needs to betaken. Reviews and maintains portfolio of accounts responsible for, withoptimum cash collections, adjustments, andclosures. Reviews aged accounts and/or any accounts for which no telephonecontact can be made or there is an indication of payment delay or discrepancy, with supervisor for possible referral to collection agency, or legalassignment. Files / Account Documentation Documents all activity take on account in accountnotes. Writes clear, concise and grammatically correct folder notes to the accountin the Hospital Information System(HIS). Adjustments Updates case / payer data and requests rebills asnecessary. Productivity: Maintains daily productivitystatistics. Meets and maintains consistent productivitygoals. Maintains consistent reduction oftotal accounts and total dollars in ARTB portfolio. Other Responsibilities Assist with projects asneeded.
Associated topics: collector, commercial, credit, financial, legal, loss, mitigation, overdue, pay, payment

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