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JOB SUMMARY:

It is the goal of the Patient Collections Representative to assist patients with questions regarding their bills or any other questions regarding services at UMC. The Patient Collections Representative will reproduce patient bills for the purpose of collections and patient care as required by the hospital personnel, payers and other various parties exhibiting a vested interest in the integrity of the bill. The Patient Collections Representative must manage delinquent self-pay accounts prior to submission to an outside collection agency. The Patient Collections Representative will make phone and letter contacts on each account to determine why payment has not been made.


REPORTS TO:


JOB SPECIFIC RESPONSIBILITIES:

• Collect and manage delinquent self-pay accounts prior to submission to an outside collection
agency, Timely follow-up is required on each account.
• Answer incoming phone calls and work account as applicable according to the patient’s issue
regarding their account as the situation requires.
• Must show ability to add insurance, verify Medicaid/Medicare eligibility for billing purposes as
required on a daily basis and must be able to use the correct transaction codes and financial
classes.
• Reach a level of understanding with the patient during each encounter. Maintain a professional
attitude at all times. All clerical duties are secondary to the patient’s inquiries.
• Make telephone calls or letter contact with each account every thirty days or as needed to
determine why payment has not been met on account.
• Understand and abide by third party payers rules for billing and collections, Refer to desk
manuals as required or for additional information.
• Must show ability to analyze third party payments for accuracy and must be able to print
itemized bills and UB92’s.
• Set up budget plans according to balance owed as required and must abide by the Budget Plan
guidelines set forth by Administration
• Correct all Patient Accounting where errors are noted and inform the proper
supervisor/employee of errors and what measures should be taken to prevent reoccurring errors.
• Inform management of any recurring problems or issues. Must show ability to determine when
management assistance is needed on a patient inquiry.


EDUCATION AND EXPERIENCE:

High school graduate or equivalent required.


REQUIRED LICENSURES/CERTIFICATIONS/REGISTRATIONS:

NONE


SKILLS AND ABILITIES:

Ability to communicate both verbally and in writing. Mainframe computer skills. Basic accounting and detailed clerical skills. Possess customer service skills. Highly technical and problem solving skills. Ability to adapt to changes.


INTERACTION WITH OTHER DEPARTMENTS AND OTHER RELATIONSHIPS:

Must be able to communicate in a professional manner at all times with co-workers, patients and family members. Must be able to maintain a working relationship with Third Party Payers for reimbursement purposes. Must be able to maintain an excellent working relationship with all departments in the hospital that you may have interaction.


PHYSICAL CAPABILITIES:

Work is of medium demand; walking, sitting and standing most of the time while on-duty. Occasional lifting of equipment is required. Adequate hand/eye coordination and fine motor skills required for typing. Talking and hearing is essential in dealing with co-workers and customers.


ENVIRONMENTAL/WORKING CONDITIONS:

Work in a well-lighted, heated and ventilated building. Hours may vary to accommodate needs of other departments.


DIRECT REPORTS:

UMC Health System provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment on the basis of race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

*Request for accommodations in the hire process should be directed to UMC Human Resources.​*