Collections Technician (46623)
Summary
Processes and follows up on patient billing accounts in a healthcare setting, using medical coding standards to maximize reimbursement and maintain compliance.
Under general supervision of the Medical Billing Supervisor with in-direct supervision by the Revenue Cycle Manager, the Collections Technician is responsible for accounts receivable support through the follow-up process of all outstanding patient accounts. This position is accountable for pursuing all avenues of payment, which could result in the maximum reimbursement to WIHCC. Uphold the principles of WIHCC’s Vision, Mission, and Value Statements. Maintains confidentiality of all privileged information at all times.
This list of duties and responsibilities is illustrative only of the tasks performed by this position and is not all-inclusive.
Essential Duties & Responsibilities:
- Maintains regular attendance and punctuality.
- Responsible for cross-training with all payers under Medical, Dental, and Workers Compensation/motor vehicle accident when needed.
- Reviews patient accounts to determine status; makes adjustments that require analysis, prepares and processes a variety of documents necessary for all outstanding accounts.
- Reviews remittance advice, explanation of benefits for denials and re-bill as needed.
- Verifies claims posted through RPMS.
- Reviews delinquent accounts following up with responsible parties via telephone and correspondence.
- Makes collection calls for all other resources following timely review of A/R aging.
- Tracks/Reports productivity weekly for reporting measures.
- Responsible for assigning proper codes, ICD-10, CPT, and HCPCS coding for reimbursement.
- Attends meetings related to Billing and Coding.
- Requires completion of tasks or duties assigned by a supervisor.
- Upholds all principles of confidentiality and patient care to the fullest extent.
- Adheres to all professional and ethical behavior standards of the healthcare industry.
- Adheres to WIHCCs Personnel Policies and Procedures, departmental policies, rules, and regulations.
- Interacts in an honest, trustworthy, and dependable manner with patients, employees, visitors, and vendors.
- Possesses cultural awareness and sensitivity.
- Maintains compliance with all Human Resources requirements.
- Performs other duties as assigned.