Joslin Diabetes Center

Collections Manager (Revenue Cycle)

US-MA-Boston
1 week ago
Job ID
R3011-18
# Positions
1
Category
Clinic

Overview

The Collections Manager’s responsibility is to reduce the self-pay accounts receivable and provide direction of the Patient Financial Counselor with the goal of collecting, managing and reducing associated Accounts Receivable.

 

The Collections Manager is responsible for supervising, hiring, training and evaluating Patient Financial Counselor (s) performance. Identifies customer service needs and assures a high degree of customer satisfaction.   He/she must have full working knowledge of EOBs/EOPs from various insurance companies.

 

Responsibilities

 Account:

  • Review all self-pay balances to ensure posting accuracy and that all open balances are in the appropriate financial class
  • Notify supervisor of any posting errors whether due to ERA or human error
  • Reach out to patient and/or guarantor on accounts that have received two statements without any payment on the account
  • Determine if patient would like to establish budget plan on balances over $100

 

Review Accounts:

  • Utilize Mass Health Website and/or NEHEN to determine if any self-pay balance should be billed to insurance. If insurance is discovered - add insurance to patient chart and rebill appropriate services.
  • Run monthly report of patient(s) with an upcoming appointment and a self-pay account balance greater than $100. Work with patient to resolve the balance in full or establish a payment plan; or determine if patient is not liable and bill third party payer. Make arrangements as warranted to meet with patients prior to scheduled appointment to review account.

Pre-List encounters

  • Identify encounters that have received three (3) statements with no payment on the account from the patient.
  • Transfer identified encounters to Internal pre-collection status
  • Change patient status
  • File and process encounters to bad debt 
  • On a weekly basis prepare encounters that have not been resolved after 60 days in internal collections and move to external collection agency. Send file via secure means to collection agency. 
  • Responsible to notify collection of any payment received, after account has been placed to outside agency. 
  • Responsible to establish, process and post weekly any recurring credit card payments
  • Serves as back up to Patient Financial Counselor 
  • Post monies received via credit card payments over the telephone. 
  • Daily balance monies collected for daily deposit. 
  • Identify department training needs, recommend and implement as needed. 
  • Identify and manage special projects as needed
  • Identify and create work flows as needed. 
  • Participates as needed in developing new policies and/or procedures. 
  • Develop relationships with internal and external customers

Qualifications

  • Bachelor's degree or equivalent experience
  • Five or more years in medical office setting with direct patient contact working with self-pay accounts. Three or more years of high volume medical collections experience.
  • Not required, but a plus CPT and or ICD-10 coding certificate

  • Self-Management and Team Work
  • Must have understanding of medical billing and third party reimbursement in order to accurately answer patient inquiries efficiently.
  • Ability to manage several tasks with minimal supervision under pressures of deadlines and fluctuating workload
  • Ability to prioritize multiple work queues and work accounts in a timely and efficient manner
  • Skill in math to handle billing and collection issues
  • Require to process a minimum of 45 to 60 accounts per day
  • Ability to communicate with patients and vendors over the phone, in person and in writing in a timely manner
  • Adheres to HIPAA privacy and confidentiality guidelines and regulations

 

Joslin Diabetes Center is an Equal Opportunity Employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status or any other status protected by law.

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