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SalaryUnder direct supervision, performs all collection functions on account balances within assigned financial classes. Processes rejections and inquires from third party payors. Follow up, handle rejections and inquires from third party payers. Identifies and communicate problems, issues or trend from 3rd party payers to the team coordinator or manager for investigations. Correct data and resubmits bills as necessary to all payors.
Education
HS or GED
Experience
One year of administrative experience, 6 months of direct billing or collections experience preferred and 1 year of customer service, preferably in a healthcare or insurance environment.
Skills
- Knowledge of collection procedures, laws, rules and regulations
- Skill in written and oral communications
- Skill in performing arithmetic calculations
Physical Requirements
- Ability to concentrate and pay close attention to detail.
- Ability to sit for long periods of time.
Working Conditions
- Normal office work environment
- Those working on the collection/self-pay team will be required to occasionally travel to/from court sites (throughout Maryland) for court assigned appearances.
Principal Duties and Responsibilities:
- Follows-up on patient and insurance balances via telephone contacts, on-line follow-up and appropriate collection letter utilization within assigned timeline and in accordance with assigned work lists.
- Ensures secondary billing on accounts with secondary liability, follows-up on any unpaid balances.
- Processes rejections and inquiries from third party payers. Provides corrected data and resubmits bills as necessary.
- Ensures late charge billing and proper posting to accounts.
- Responds to patient and third party payor inquiries/complaints regarding Patient Accounts via telephone, mail and in person.
- Reconciles third party payment vouchers, ensuring proper reimbursement.
- Identifies and communicates problems, issues and negative trends for third party payers to the team coordinator or supervisor for investigation.
- Those on the collections/self-pay team will also serve as a representative of GBMC in court for collection of co-pays, deductibles or coinsurances.
All roles must demonstrate GBMC Values:
Respect
I will treat everyone with courtesy. I will foster a healing environment.
- Treats others with fairness, kindness, and respect for personal dignity and privacy
- Listens and responds appropriately to others’ needs, feelings, and capabilities
Excellence
I will strive for superior performance in every aspect of my work. I will recognize and celebrate the accomplishments of others.
- Meets and/or exceeds customer expectations
- Actively pursues learning and self-development
- Pays attention to detail; follows through
Accountability
I will be professional in the way I act, look and speak. I will take ownership to solve problems.
- Sets a positive, professional example for others
- Takes ownership of problems and does what is needed to solve them
- Appropriately plans and utilizes required resources for various job duties
- Reports to work regularly and on time
Teamwork
I will be engaged and collaborative. I will keep people informed.
- Works cooperatively and collaboratively with others for the success of the team
- Addresses and resolves conflict in a positive way
- Seeks out the ideas of others to reach the best solutions
- Acknowledges and celebrates the contribution of others
Ethical Behavior
I will always act with honesty and integrity. I will protect the patient.
- Demonstrates honesty, integrity and good judgment
- Respects the cultural, psychosocial, and spiritual needs of patients/families/coworkers
Results
I will set goals and measure outcomes that support organizational goals. I will give and accept help to achieve goals.
- Embraces change and improvement in the work environment
- Continuously seeks to improve the quality of products/services
- Displays flexibility in dealing with new situations or obstacles
- Achieves results on time by focusing on priorities and manages time efficiently
COVID-19 Vaccination
All applicants must be fully vaccinated against Covid-19 or obtain a GBMC approved medical or religious exemption prior to starting employment at GBMC Healthcare, to include Gilchrist and GBMC Health Partners.
Equal Employment Opportunity
GBMC HealthCare and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.
