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Account Recovery Specialist I


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Title: Account Recovery Specialist I

Department: Revenue Cycle Services

Reports To: Revenue Cycle Supervisor / CBO Office Manager / Director of Revenue Cycle Services

Supervises: N/A

Status: Full-time, Part-Time and PRN positions available


Position Summary:

The Account Recovery Specialist I is responsible for performing activities in self pay receivable recovery.
Furthermore, they will ensure maximum reimbursement for services provided by utilizing sound knowledge of insurance rules and regulations, best practice workflows, and the use of multiple software systems. Compliance with rules and regulations of all applicable federal, state and local laws as well as ruralMED policies is a condition of employment.


Qualifications:

Education and/or Experience:

• High School Diploma is required.
• One to two years related experience and / or training in healthcare setting.
• 1-2 years of collection or sales experience preferred.
• Knowledge of medical terminology and/or insurance terminology is preferred.


General Requirements/Job Duties:

To perform this job successfully, an individual must be able to perform each essential job duty satisfactorily.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The requirements listed below are representative of the knowledge, skill, and/or ability required:

  1. Performs tasks related to self-pay delinquent account collections including analysis of delinquent accounts, research of account statuses, telephone collection calls and assigning collection letters.
  2. Performs tasks for accounts receivable maintenance including monitoring and reconciling reports, establishing payment arrangements with patients according to established guidelines and monitoring of established payment arrangements.
  3. Monitor and maintain patient address information/changes including initial skip-tracing on returned mail.
  4. Provide back-up coverage for cash receipts posting and billing functions
  5. Analyzes and responds to patient-related correspondence
  6. Processes patient refunds
  7. Receive and resolve patient inquires.
  8. Responsible for functions related to collection agency listings and monitoring of collection accounts.
  9. Keeps up to date with status and regulations that could affect collection of self-pay receivables.
  10. Maintains the completeness and accuracy of patient’s computerized financial file.
  11. Attends and participates in departmental meetings / in-services, quality improvement program, etc

 

Other:

  • Maintains current knowledge of billing and reimbursement rules as designated by the Centers of Medicare and Medicaid Services (CMS), Medicaid Managed Care, and other payers.
  • Maintains proficient knowledge of EHR, clearinghouse, and payer systems, as well as any other systems, required for performing required job duties.
  • Communicates issues to management, including payer, system, or escalated account issues. Identifies denial trends and provides suggestions for resolution.
  • Participates in department meetings, in-service programs, and continuing education programs.
  • Maintains a professional attitude with patients, visitors, physicians, office staff and hospital personnel. Assures confidentiality of patient information, maintaining compliance with policies and procedures.
  • Performs other duties as assigned.


Required Knowledge, Skills and Abilities:

• Proficient with Microsoft Office Suite


Security/Access:

Will have access to primary work location 24 hours a day.
Will have access to confidential information abiding by the organizations' privacy policies and regulations concerning this information.


Equipment Used:

- General office equipment to include: fax, copier, computer, printer, etc.
- Telephone
- 10-key Calculator


Patient Age Groups Served:

None.


Essential Work Environment & Physical Requirements:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Physical ActivityNot
Applicable
Occasionally
(0-35% of day)
Frequently
(36-66% of day)
Continuous
(67-100% of day)
SittingX
StandingX
WalkingX
ClimbingX
DrivingX
Lifting (Floor to waist level)40 lbs.10 lbs.
Lifting (waist level and above)40 lbs.10 lbs.
Lifting (Shoulder level and above)40 lbs.10 lbs.
Carrying ObjectsX
Push/Pull40 lbs.0 lbs.
TwistingX
BendingX
Reaching forwardX
Reaching OverheadX
Squat/kneel/ crawlX
Wrist Position DeviationX
Pinching/Fine Motor activitiesX
Keyboard use/ repetitive motionX
TasteX
TalkX
SmellX
Sensory RequirementsNot ApplicableAccurate 20/40Very Accurate
Near VisionX
Far VisionX
Not ApplicableYesNo
Color DiscriminationX
Not ApplicableAccurateMinimalModerate
Depth PerceptionX
HearingX
Environment Requirements
(Occupational Exposure Risk Potential)
Not AnticipatedReasonably Anticipated
Bloodborne PathogensX
ChemicalX
Airborne Communicable DiseaseX
Extreme TemperaturesX
RadiationX
Uneven Surfaces or ElevationsX
Extreme Noise LevelsX
Dust/Particulate MatterX
Other (Listed)
Shift Requirements8 hrs/day10 hrs/day12 hrs/dayOther (varied)
Usual workday hoursX
Not ApplicableYesNo
Reliable, punctual attendance for assigned shiftsX
Available to work overtimeX
Telecommuting available?X