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Patient Account Rep at Nicklaus Children's Health System

Posted in Admin - Clerical 30+ days ago.

This job brought to you by eQuest

Type: Full-Time
Location: Miami, Florida





Job Description:

Job Summary


Handles all hospital-related collection activities including contacting guarantors and patients in regards to their payment status. Responsible for the collection efforts goals established by the department all while providing the highest level in customer service to both internal and external customers.

Minimum Job Requirements


    1 year collection experience in a health-care capacity required.
    #LI-DNI
    #CA-LB

      Essential Duties and Responsibilities



      • Contacts guarantors to motivate them to provide additional information required for payment.


      • Contacts responsible parties to request payments.


      • Explains managed care contract language, governmental regulations, and the contract reimbursement matrix when resolving issues on accounts.


      • Documents all collection activities immediately, concisely, completely, and accurately following contact in the hospital system.


      • Maintains and makes collection efforts on 1200-1400 patient accounts per month with an average time of 5 to 7 minutes per account to review payment status online and by phone.


      • Works the following queue’s daily or as needed: at risk, past due, pending reimbursement & variance to resolved.


      • Pursues payment until account is resolved.


      • Resolves complex payment issues in a timely manner.


      Knowledge/Skills/Abilities



      • High school education or equivalent preferred.


      • Ability to motivate managed care companies to pay promptly in accordance to the Florida Prompt Payment statute.


      • Basic level proficiency in Excel.


      • Knowledge of managed care regulations and contract language.


      • Able to relate cooperatively and constructively with clients and co-workers.


      • Ability to communicate in English verbally and in writing.


      • Bilingual in Spanish preferred.


      • Able to maintain confidentiality of sensitive information.


      • Ability to follow detailed written or verbal instructions


      (EOE DFW)


      8/18/2015