Sanford Health Patient Accounts Representative | Enterprise PFS Collections in Sioux Falls, South Dakota
Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.
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Facility: Sanford Business Center Building
Location: Sioux Falls, SD
Job Schedule: Full time
Weekly Hours: 40.00
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.
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.
Sanford is an EEO/AA Employer M/F/Disability/Vet.
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Job Function: Revenue Cycle
Req Number: R-15984