Current Employees: If you are a current employee, please apply via the internal career site by logging into your Workday Account and clicking the "Career"icon on your homepage. Primary Location Rapid City, SD USA
Department CS Patient Financial Services
Scheduled Weekly Hours 40
Starting Pay Rate Range $17.64 - $22.05
(Determined by the knowledge, skills, and experience of the applicant.) Job Summary This role identifies day to day issues related to collection of past due self pay accounts. This position is responsible for the implementation of collection policies of Monument Health.
Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include: *Supportive work culture *Medical, Vision and Dental Coverage *Retirement Plans, Health Savings Account, and Flexible Spending Account *Instant pay is available for qualifying positions *Paid Time Off Accrual Bank *Opportunities for growth and advancement *Tuition assistance/reimbursement *Excellent pay differentials on qualifying positions (extra pay for working evening, nights or weekends) *Flexible scheduling Job Description Essential Functions:
- Conducts a complex review, analysis, and follow up on unresolved account balances from the complete Monument Health system utilizing a vast multitude of varying software packages and their functions, in accordance with established guidelines to ensure a positive patient and family experience.
- Demonstrates a high-level review of billing and follow up processes necessary to ensure prompt, appropriate reimbursement, and resolution of unresolved account balances due from responsible parties/patients.
- Displays advanced knowledge of third-party payer procedures such as eligibility and verification, claims submission, reimbursement, as well as an understanding of collection policies. Demonstrates this knowledge for third party payer groups including, but not limited to: Medicare, Medicaid, Champus, Blue Cross and all other third-party contractual agreements entered by Monument Health.
- Develops and monitors collection performance against Director approved benchmarks.
- Effectively communicates pertinent information regarding reimbursement activities and personnel needs to promote a positive work environment, as evidenced by documentation and/or observation and/or feedback.
- Ensures collection activity is conducted promptly in accordance with policies and procedures. Promptly responds to interruptions in the revenue cycle process to ensure collection practices are maintained according to policy and procedures.
- Inform Supervisor/Manager on a regular basis of all routine progress and pertinent activities of the departments. Promote good communication.
- Represents Monument Health as a job expert in court proceedings, providing documentation and factual testimony on billing and collections workflows of guarantor accounts.
- Run reports and perform skip tracing activities necessary to acknowledge and locate debtors in a cost-efficient manner, as evidenced by documentation, observation, and feedback.
- Resolves escalated patient concerns: Conducts interviews and dialogue with patients, their families, and Monument Health subject matter experts in a professional manner utilizing public relation skills. Provides patient counseling to promote open communication, establish absolute comprehension and concern resolution, and initiate payment arrangements on outstanding and collection account balances in accordance with established guidelines.
- Collaborates and effectively communicates pertinent information in a professional manner to promote a positive work environment with all internal Monument Health caregivers including but not limited to: Patient Financial Services Claims Analysts, Health Information Management, Patient Financial Services Third Party Financial Advocates, and all other divisions and department subject matter experts and caregivers.
- All other duties as assigned.
Additional Requirements Required: Education - High School Diploma/GED Equivalent in General Studies
Preferred: Experience - 3+ years of Billing/Collections Experience
Physical Requirements:
Sedentary work - Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time.
Job Category Revenue Cycle
Job Family Credit and Collections
Shift Employee Type Regular
15 Corporate Services Division
Make a difference. Every day. MonumentHealthis an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.
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