DaVita Patient Accounts Representative in COLORADO SPRINGS, Colorado
Patient Accounts Representative
Summary: Responsible for the effective collections of patient accountsthat are specifically assigned as Self-Pay. Contact patients by phone, letter, or in person regarding overdueaccounts and arrange payment or terms within approved guidelines.
Essential Duties and Responsibilities include the following. Otherduties may be assigned.
Check voicemail each morning for overnightcalls within 24 hours.
Respond to inquiries from patients byphone, letter, or in person regarding their accounts. These can include questions regardingaccuracy of charges, insurance questions, concerns, denials, and credits. Research patient issues and develop paymentplans and other options as needed.
Contact responsible party/guarantor toexpedite collection efforts.
Discuss patient options and negotiate apayment plan that meets CSHP guidelines.
Generate credit files for each identifiabledelinquent account which may involve: individualcounseling, making telephone calls and sending collection letters ifappropriate; evaluating patient financial status; setting up appropriate budgetpayment plans; and providing thorough documentation of action taken andresponses made.
Work all accounts in assigned PaperlessCollection System queue on a monthly basis. Document action taken, print out statements and/or transfer accountactivity to ledger sheets as necessary.
Screen, counsel and educate appropriatepatients regarding CSHP's credit policies/procedures and rebilling fees.
Document and follow up appropriately oncorrective actions as identified by the patient, CSHP providers and/or supportstaff.
Handle all returned mail and correspondenceappropriately and in a timely manner to include letters from patients,bankruptcy, assignments, and requests from attorneys for billing records.
Review accounts for possible assignment toa collection agency. Makerecommendations to the Business Office Manager, and prepare information forcollection assignment.
Work directly with collection agencies onaccuracy of accounts assigned, payment discrepancies, disputed balances, etc.,assisting with research as necessary. Mayalso include completing affidavits and assignments for the collection agency ina timely manner, preparing information for the agency when court appearancesare scheduled, and going to court on behalf of CSHP when the agency/courtsdetermines that is necessary.
Review "Red Dot" accounts(problem and collection accounts) and Termination of Care's (TOC's) inquiriesand determine action to be taken on each account. Speak with patients at officewith account or information problems.
Work new OB list for previous week'sappointments. Call on benefits and sendout patient information letter. Trackall OB patients to ensure insurance information is current and set up paymentoptions to collect deductibles, co-insurance, etc., due prior to delivery. Track all self-pay OB patients to ensure thatbalance due is paid prior to delivery.
Generate TOC requests to the appropriate provideras indicated.
Work thoroughly all assigned accounts inthe Paperless Collection System queue, which averages approximately 1200patients on a monthly basis.
In assigned queue, investigate each accountfor correct insurance information, and make calls to hospital, provider office,Medicaid, or patient to locate and file as needed.
In assigned queue, check insurance denialsfor valid reasons.
In assigned queue, contact patients bytelephone or mail to gather necessary information regarding payment/s. Make telephone calls prior to sending finalnotice and transferring to hold queue. Workhold queue prior to transferring to Collections.
Work monthly reports outside of queue toinclude bad addresses, budget plans, dunning lists, surgery schedules, and reddot reports.
Maintain understanding of and appreciationfor confidentiality.
Attend assigned monthly meetings and functionsas specified by the Business Office Manager.
Demonstrateand exemplify behavior consistent with DaVita’s core values – serviceexcellence, integrity, team, continuous improvement, accountability,fulfillment, fun.
Maintain knowledge ofcompany policies and procedures, OSHA and other related regulations andguidelines, and ensure department compliance.
Attend and complete all required training anddevelopment to include annual compliance training.
Perform additional duties as assigned.
High school diploma or GED, required
At least 3 years related experience in insurance follow up
A minimum typing speed of 50 wpm
Intermediate computer proficiency in Microsoft Office in Word and Excel
Ability to listen to patient concerns andcomplaints objectively and deal with them tactfully.
Ability to establish and maintain effectiveworking relationships with staff, patients and the public.
Must have tact, good public relationsskills, maturity of judgment, and a professional attitude and appearance.
Knowledge of federal, state and local legaland regulatory provisions that relate to collection activities.
Knowledge of medical terminology preferred.
What's in it for you? Here's what we bring to the table:
A Fun, relationships-based culture-patient- and teammate-driven team
Working for a FORTUNE 500 company stability-as the nation's largest independent provider of dialysis services
Receive award winning training, as note in Training Magazine Top 125 award-winning education
Opportunity for multiple career paths across a variety of cutting-edge modalities
Rewards for your STELLAR performance
Clinical outcomes consistently ranked above the national average-treating more than one-third of the dialysis population (that's approximately 100,000 patients!)
Exceptional benefits-including the healthcare industry's most generous profit sharing program
Most importantly...The best fit candidate for this position is someone who can connect strongly with our Core Values and be a shoe in with our Culture. We know our new Patient Account Representative is out there…and we look forward to hearing from you!
To learn more about us and explore our nationwide opportunities check out our website at http://careers.davita.com !
To learn more about DaVita, click here .
DaVita is an equal opportunity/affirmative action employer. As such, DaVita makes hiring decisions solely on the basis of qualifications and experience, and without regard to age, race, color, religion, sex, gender identity , sexual orientation , national origin, disability or protected veteran status.
We maintain a drug-free workplace and perform pre-employment substance abuse testing and background verification checks.
Primary Location CO-COLORADO SPRINGS - 80903
Req ID: 302816