LEGAL SPEC-ABQ PAC Full-Time
Location: Albuquerque, New Mexico
Description: Presbyterian Healthcare Services is employing LEGAL SPEC-ABQ PAC Full-Time right now, this occupation will be placed in New Mexico. More details about this occupation opportunity kindly see the descriptions. Minimum Skills/Requirements
High school diploma or GED is required, Paralegal training preferred.
Minimum six months experience in insurance follow-up and/or self-pa! y
collections. Demonstrated ability to communicate effectively via
telephone and in writing. Computer literate. Must be able to work closely
with co-workers.
Requires thorough knowledge of various governmental financial
assistance programs to include Sole Community, Indigent, Medicaid, etc.
One year experience in patient accounting in a medical facility or
physician’s office. Must be familiar with state and federal insurance
regulations. Demonstrated ability to communicate effectively via
telephone and in writing. Computer literate. Must be able to work closely
with co-workers.
Thorough knowledge of self-pay collection techniques. Responsible for
familiarizing self with basic collection techniques, as well as advanced
resolution techniques.
Must be familiar with Windows-based environment, Internet & E-mail.
: Mental Power: Ability to make decisions that are varied and in
many cases solutions mu! st be developed.
Ability to exercise choice in how wo! rk is
accomplished with independence to operate
within established policies, procedures and
schedules.
Physical Power: Walks/stands up to one hour. Lifts up to 10
pounds. Sits up to 7 hours per day. Hand/wrist
movement.
Primary Job Functions
- Ensures that 3rd party and self-pay accounts are handled in a customer service oriented manner that accomplishes the goal of collecting monies due to PHS, while at the same time, preserving the positive image of PHS that exists in the community.
- Responsible for assisting patients to identify any eligible means of financial assistance or, if none apply, working with the patient to make acceptable payment arrangements. Must communicate all issues to teammates and follow-up and collection supervisor. Responsible for maintaining files containing all pertinent information for each account to include correspondence, EOB’s, claims, etc.
- Must be an effective team! member with good communication skills. Must participate in team meetings, communicate work related ideas and concerns proactively, and assist in finding appropriate resolutions.
- Responsible for contacting insurance companies, patients, and employers regarding outstanding hospital claims. Responsible for providing any information (medical records, itemized statements, etc.) requested by insurance companies to process claims. Must maintain a system to ensure timely follow-up is completed for each outstanding account. Responsible for familiarizing self with Fair Debt Collection Practices Act (FDCPA), Worker’s Compensation laws, Indian Health Services (HIS) regulations, Medicare and Medicaid laws, HIPAA regulations and various compliance issues.
- Maintain collection reports consisting of outstanding accounts assigned. Must work and document the report according to Patient Accounting Department policies and procedures. Responsible for following up on all acco! unts listed on the report until resolved.
- Refer accounts, in a! ccordance with PHS guidelines, to Follow-up & Collections Manager for write-off, or agency or attorney referral. Refer difficult accounts to Follow-up & Collection supervisor or manager for advice and/or assistance.
- Must work closely with all outside agencies contracted with the Patient Accounting Department and assist them with account resolution for any accounts assigned to them by the Follow-up & Collection supervisor/manager.
- Cross train in the various Patient Accounting Department areas to be completely familiar with all aspects of Patient Accounting functions as they relate to collections.
- Ensures that all job functions are performed within the established quality and quantity standards. Adheres to all PHS and Patient Accounting Department policies and procedures to promote a smooth working environment and uphold the PHS vision by practicing the CARES behaviors at all times.
- Performs other duties as assigned by the Follow-up & Colle! ction supervisor and/or manager.
- .
If you were eligible to this occupation, please email us your resume, with salary requirements and a resume to Presbyterian Healthcare Services.
Interested on this occupation, just click on the Apply button, you will be redirected to the official website
This occupation will be started on: Wed, 22 May 2013 19:29:15 GMT
Apply LEGAL SPEC-ABQ PAC Full-Time Here