Joslin Diabetes Center Collections Manager (Revenue Cycle) in Boston, Massachusetts
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.
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
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.
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
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.
Requisition Number (add R/N and FY after populates): R3011-18
External Company URL: http://www.joslin.harvard.edu/