PATIENT COLLECTIONS REPRESENTATIVE jobs in United States
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SignatureCare Emergency Center · 4 weeks ago

PATIENT COLLECTIONS REPRESENTATIVE

SignatureCare Emergency Center is seeking a Patient Collections Representative responsible for collecting patient balances and ensuring clear communication regarding billing and insurance processes. The role involves direct interaction with patients to resolve inquiries, initiate collections, and maintain accurate documentation of all activities.

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Responsibilities

Answer incoming patient calls and accurately identify the type of assistance needed, including benefits and eligibility, billing and payments, authorizations, and Explanation of Benefits (EOBs)
Ask appropriate questions and actively listen to identify patient concerns while accurately documenting required information in computer systems
Resolve patient inquiries through to completion in real time, including timely and comprehensive follow-up when required
Communicate clearly and professionally with patients to ensure full understanding of their bills, statements, and insurance processing
Initiate collection efforts on all open patient balances via statements, phone calls, and email correspondence, including negotiation when appropriate
Address patient concerns related to care, costs, and overall billing experience with professionalism and empathy
Set up, process, and monitor patient payment plans as necessary
Respond promptly and accurately to written correspondence from patients
Generate, review, and mail patient statements within corporate-assigned timeframes
Maintain complete, accurate documentation of all collection activities in compliance with HIPAA and company policies
Stay informed of changes to payer rules, billing guidelines, procedures, and applicable federal and state regulations
Meet established performance goals related to efficiency, accuracy, quality, patient satisfaction, and attendance
Perform additional duties as assigned by department management

Qualification

Insurance revenue cycleExplanation of Benefits (EOBs)Medical revenue cycleComputer skillsPractice management systemsMultitaskingBilingual/Spanish-speakingCommunication skillsProblem-solving skillsNegotiation skills

Required

Minimum Education: High School Diploma or G.E.D. required
Demonstrated understanding of the insurance revenue reimbursement cycle, including payer adjudication, patient responsibility, and post-adjudication collections
Proven ability to read, analyze, and interpret Explanation of Benefits (EOBs) to determine payment accuracy, denials, adjustments, and patient balances
Working knowledge of the medical revenue cycle, including patient registration, charge capture, billing, insurance reimbursement, and patient collections
Familiarity with managing patient accounts and collections while ensuring compliance with billing policies, payer guidelines, and applicable regulations
Strong computer and keyboarding skills, with the ability to type a minimum of 40 WPM
Ability to navigate multiple computer systems and software applications while actively communicating by phone
Proficiency with Windows-based PC applications and the ability to quickly learn new systems and workflows
Experience with practice management or billing systems; experience with Centricity is beneficial
Strong verbal and written communication skills with the ability to explain complex billing and insurance information in clear, simple terms
Demonstrated problem-solving and negotiation skills related to patient balances and reimbursement discrepancies
Ability to multitask, prioritize responsibilities, and work both independently and collaboratively in a fast-paced environment
Positive attitude, strong work ethic, and team-oriented mindset
Willingness to train the proper candidate who demonstrates foundational revenue cycle knowledge

Preferred

Minimum of 2 years of experience in customer service, collections, medical billing, or a healthcare revenue cycle-related role preferred
Prior experience working with self-pay and commercial insurance accounts strongly preferred
Bilingual/Spanish-speaking ability is a plus

Benefits

Health benefits start on the first of the month after hire
Medical, dental, and vision plans with sliding-scale premiums
100% coverage for preventive health services
HSA and FSA options available
Company-paid life insurance and long-term disability
401(k) with contributions starting after 30 days
100% match on the first 4%
Full vesting after 3 years
Access to exclusive employee discounts on travel, fitness, shopping, and more
Paid Time Off

Company

SignatureCare Emergency Center

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SignatureCare Emergency Center is the fastest emergency centers that their emergency facilities are always looking to add highly trained.

Funding

Current Stage
Late Stage

Leadership Team

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Khalid Khan
CTO
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Chris Langan
Chief Operating Officer
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Company data provided by crunchbase