Patient A/R and Collections Representative

Cedar Point Health in beautiful Montrose, CO is looking for a Patient Accounts Receivable and Collections Rep to join our team. The Patient Accounts Receivable (AR) and Collections Representative is responsible for posting, adjusting and monitoring patient accounts receivables with the ultimate goal of bringing the patient’s account to a zero balance.

Cedar Point Health offers competitive pay and comprehensive benefits to full-time employees, including medical, dental, vision, AFLAC, employee life and accidental death insurance, 401k, and Paid Time Off including sick time.

Details: Full-time (8:00am - 5:00pm Monday - Friday)

Salary: $17.00/hr - $21.00/hr (depends on experience)

Background checks and credit checks will be performed with an offer of employment.

Responsibilities:

1.     Review and maintain patient AR within pre-set policies and goals.

2.     Contact any patients with balances.

3.     Perform collection processes, per current policies and procedures.

4.    Prepare patient refunds.

5.    Patient Collections on unpaid balances to include establishing payment plans and Payment Assurance.

6. Unpaid Balance Follow up to include Phreesia/Payment Assurance and Payment Plan fails.

7.    Update patient demographics including new insurances as needed.

8.    Answer patient inquiries.

9.     Identify and resolve patient billing complaints and questions.

10.  Prepare, review and send patient statements weekly.

11.  Employer contract collections.

12.  Maintain strict confidentiality, adhere to HIPAA guidelines and regulations.

13.  Update the patient account record to identify actions taken on the account in a timely manner.

14.  Other duties as assigned.

Requirements:

1. Able to effectively and compassionately communicate with patients and clients.

2. Knowledge of medical billing/collection practices and timely filing guidelines.

3. Possesses an understanding of EOB’s including Remittance Advice Remark (RARC) and Claim Adjustment Reason Codes (CARC).

4. Ability to function on multiple practice management programs, as well as other business office machines.

5. Knowledge of basic medical coding including CPT and ICD-10-CM coding guidelines.

6. Ability to work with patients, billing/coding and clinical staff.

7. Ability to work independently and prioritize projects.

8. Must be well-organized and detail oriented.

Experience: Must have 1 year experience in collections or medical billing field.

Education: High School Diploma or equivalent.

Mental and Physical Requirements: Must possess physical and mental abilities to perform the tasks normally that are mostly sedentary with occasional standing, walking, reaching. Daily and repetitive data entry may cause nerve problems unless ergonomic techniques are used. Periodic stress occurs from handling many calls and dealing with patient and provider requests. Varied activities including standing, walking, reaching, bending and lifting.  Must be able to use a variety of office equipment.  May require working under stressful conditions.  Must be able to lift 20 pounds. 

Conditions: Normal office setting that requires the ability to work under pressure and with a diverse population, including staff, physicians, clients, patients, insurance companies, labs, hospitals and other members of the public on a regular basis