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Collections Representative - Patient Finance-Area

Company: Mission Hospital Mission Viejo
Location: Santa Rosa
Posted on: June 6, 2021

Job Description:



We are looking for a Collections Representative for the Patient Finance-Area Department at Santa Rosa Memorial Hospital.



Location: Santa Rosa, CA
Work Schedule: Full time - 80 Biweekly hours
Shift: 8 hour, Days



Job Summary:
This position serves as the ministry's resource for all financial concerns of our patients and knowledge on all government programs and financial assistance options. Serves as an expert resource in customer service and collections providing support, training and guidance to employees and departments. Responsible for coordination of financial assistance, patient complaints, collections, and bad debt processes to ensure timely resolution of accounts in compliance with policies and regulations. Responsible for resolving complex and difficult accounts requiring knowledge of all components of patient accounting, systems and vendor processes. Ensures adequate phone coverage and excellent customer service. Greets and serves patients in a professional, friendly, and respectful manner to promote sacred encounters. Assists department with implementation of new processes, programs and projects.



Essential Functions:

  • Coordinates all financial assistance, preparation of applications, calculate income levels to determine that patient meets criteria according to corporate policy.
  • Patient estimates and complaints, serves as point of contact to assist Customer Service Reps. Ability to determine necessary steps to resolve complaints, determine if higher level of management is required to resolve complaint(s).
  • Review Private collections bad debit and customer service process, coordinate work assignments for collections specialist and customer service reps to determine work flow.
  • Oversees overall process of accounts being transitioned. Supports work of vendors by obtaining in house documentation as needed.
  • Able to perform fully all duties and tasks of a Collection Specialists and Customer Service Representative, Vendor Liaison and may serve in their place as needed.
  • Identify and recognize need for improvements/changes in process. Supports and facilitates process improvement and policy/procedure development. Contributes suggested solutions based on expert knowledge and experience as related to Customer Service and Collection Specialists and Vendor Liaison.
  • Monitors:
    • Vendor liaison and performance of vendors through reports and dashboards to ensure complete and timely resolution of assigned accounts
    • Monitor vendor reporting and support accurate data to RCE.
    • Reviews invoices to ensure accurate billing.
    • Oversees overall process of accounts being transitioned to vendors.
  • Working knowledge of MediTech, Medifinance, performs patient estimates and working knowledge of vendor systems. Assist in staff training on systems and process as needed. Train new staff during and after systems conversions and or changes.
  • Position mandates good communication skills and problem solving.


Skills:
  • Working knowledge of insurances PPO, EPOS, HMO, Medicare, Medi-Cal, Indemnity, Workers Compensation.
  • Must possess excellent customer service and communication skills along with good judgment and math skills, ability to read, understand and follow verbal or written instructions.
  • Type 40-50 wpm, possesses computer skills, Internet Explorer, Microsoft Outlook, Microsoft Word and Microsoft Excel.
  • Ability to navigate Health Plan Websites.
  • Working knowledge of computerized registration, billing and collection procedures.
  • Preferred: Understanding of Medicare, Medi-Cal and other payer insurance billing and payment processes and account reconciliation.
  • Preferred: Understanding of healthcare reimbursement methodologies.
  • Preferred: Basic understanding of medical terminology, ICD-9, CPT-4 and HCPC coding.
  • Preferred: Bilingual Spanish.


Minimum Position Qualifications:

Education : H.S. Diploma or GED

Experience : 2 years of experience in an insurance billing, customer service or follow-up position in either a hospital or medical office setting.

Preferred Position Qualifications:

Experience :
  • Experienced with Meditech/A4 or other systems.
  • Project Management experience.

License/Certification : Certified Healthcare Financial Professional (CHFP) or Certified Patient Account Manager (CPAM).



Providence St. Joseph Health (Providence) has worked for decades to improve health and quality of life in California's North Bay region, starting in Sonoma County, where the Sisters of St. Joseph of Orange opened the doors of Santa Rosa Memorial Hospital in 1950. Today, we continue the mission begun by the Sisters to those we serve through an integrated spectrum of primary, urgent, acute, outpatient, palliative care and regional referral services. Sonoma County facilities aligned with Providence include the 278-bed Santa Rosa Memorial Hospital, the region's only Level II trauma center. In addition, the 80-bed Petaluma Valley Hospital and 43-bed Healdsburg Hospital are secular (non-religious) affiliates of Providence. Our services also encompass three Urgent Care centers, Hospice of Petaluma, Memorial Hospice and North County Hospice, the Annadel Medical Group doing business as St. Joseph Health Medical Group, as well as the St. Joseph Home Care Network (post-acute care services). We act as a regional referral hub for outlying hospitals, while also providing outpatient behavioral health care, education to promote health and prevent chronic disease, rehabilitation, oral health care, community benefit programs, and more, all fostering health and quality of life throughout the area.

Providence provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Providence complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

Positions specified as 'on call/per diem' refers to employment consisting of shifts scheduled on as 'as needed basis' to fill in for staff vacancies.




Keywords: Mission Hospital Mission Viejo, Santa Rosa , Collections Representative - Patient Finance-Area, Other , Santa Rosa, California

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