Sanford Health Patient Accounts Representative - Enterprise PFS Collections in Fargo, North Dakota
Job Title: Patient Accounts Representative | Enterprise PFS Collections | Multi-City
Department : Enterprise PFS Collections
Job Schedule: Full Time
Hours Per Shift: 8 hr
Primarily concerned with the billing and collection of accounts receivable. Coordinates activities with third party agencies, insurance companies and patients.
Conducts follow-up on delinquent accounts and on Accounts Receivable Aging Analysis to ensure all accounts are being worked. Handles calls from patients or responsible parties of accounts, as well as individuals who may be entering the hospital at a future date. Manually calculate patient portion of payment based on insurance benefits. Have good working knowledge of all collection policies set forth by the Accounts Receivable department. Handles incoming mail on all accounts within area of responsibility. May include producing written correspondence in answer to these inquiries.
Responsible for follow-up on collection of account balances due, including contact by telephone with insurance companies and agents, other departments of the hospital, patients, etc. Collection notes are reviewed at appropriate time intervals for determination of further collection action and may include telephone contact or computer generated collection letters. Maintains accurate information in the computer system to document where the account is within the collection process. Good working knowledge of collection laws as well as requirements of collection agencies mandated under the FDCPA standards. Have good working knowledge of submission of claims for all payors. Considerable initiative and judgment involved in estimating credit risks, devising plans for payment and collecting delinquent accounts.
Review accounts and determine when all collection efforts by the hospital have been exhausted and then refer the unpaid account on for further collection action with the collection agency. Work closely with the collection agency in providing accurate information to enable the collection agency to correctly handle accounts. The work day consists of 90-95% of time on the telephone either receiving calls or making collection calls to patients, physicians, departments or insurance companies.
Use initiative, discretion and independent judgment in making decisions in varied situations as it relates to patient accounts. Be firm in a courteous and tactful manner in dealing with patients. Work with growth and development needs of unique client populations. Strong communication skills. Be able to utilize all office equipment including personal computer and application software, printer, FAX, copier, multi-line telephone system. Requires excellent written and oral communication skills, including English usage, grammar, punctuation, and style. Ability to use appropriate reference materials. Ability to multi-task. Familiarity with Data Processing capabilities and procedures is necessary.
Collects required data through various data sources. Utilizes privacy standards when sharing, accessing and storing data. Works with vendors to assure that products or services are delivered to time and quality specifications. Maintains accounts receivable records as a regular part of daily work. Clarifies basic principles, processes and terminology related to the insurance business. Participates in major data entry operations department or roles. Seeks information from resources such as major industry publications and professional associations. Describes major tasks and responsibilities of a customer support function. Explains the relationships with claims adjusters, insurance companies, outside legal counsel, and other claims related parties. Uses a variety of computer hardware, operating systems, utilities and applications. Selects most appropriate communication approach depending on message and audience. Applies the concept of collaboration to build relationships and coordinate with other teams.
The Patient Accounts Representative will spend 90-95% of their day on the phone either receiving calls, or making collections calls to patients, physicians, departments or insurance companies. The hours for this position are Monday-Thursday 9:30-6:00 p.m. and Friday 8:30-5 p.m. This position will sit in either Fargo, ND or Sioux Falls, SD.
Minimum of a high school education, however, some trade course classes in accounting, business and communications would be very helpful in this position. Previous experience in billing preferred but not required. Call Center experience preferred.
About Sanford Health:
At Sanford Health, we are dedicated to the work of health and healing.
Every day, we show that commitment by delivering the highest quality of care to the communities we serve.
We are leaders in health care and strive to provide patients across the region with convenient access to expert medical care, leading-edge technologies and world-class facilities.
In addition to strong clinical care, we are also committed to research, education and community growth.
We engage in medical research to not only discover innovative ways to provide care, but also cures for common diseases.
We continuously seek new ways to achieve our vision of improving the human condition here in your community, across the region and around the world.
The entire team at Sanford Health recognizes the value of healthy families and communities.
We continue to gain momentum and expand our reach. Together, we can make a positive difference now, and in the future.
Sanford is an EEO/AA Employer M/F/Disability/Vet.
If you are an individual with a disability and would like to request an accommodation for help with your online application,
please call 1-877-673-0854 or send an email to firstname.lastname@example.org .
Job Function: Revenue Cycle
Job Schedule: Full Time
Req Number: WD14384