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Patient Accounts Collection Representative

Company: Greater Lawrence Family Health Center
Location: Methuen
Posted on: May 11, 2019

Job Description:

Established in 1980, the Greater Lawrence Family Health Center, Inc. (GLFHC) is a multi-site, mission-driven, non-profit organization employing over 600 staff whose primary focus is providing the highest quality patient care to a culturally diverse population throughout the Merrimack Valley. Nationally recognized as a leader in community medicine (family practice, pediatrics, internal medicine, and geriatrics), GLFHC has clinical sites throughout the service area and is the sponsoring organization for the Lawrence Family Medicine Residency program.GLFHC is currently seeking a Collection Representative to join our dynamic and fast paced Patient Accounts Team. The Patient Accounts Collection Representative is responsible for the maximization of the Health Centers revenues, and ensures achievements of goals for cash to revenues. Accountable for the collection of accounts receivables, Reduction of write offs, days outstanding in accounts receivables, and bad debts.Scope of Duties:* Analyze and resolve daily, all claims transferred to the insurance follow up collector work list.* Identify and post each account with the appropriate "action code" taken for each claim pending.* Utilize all desktop web applications and GE applications to verify and resolve claims status and or denial on line if available.* Initiate oral or written inquiries to third parties, patients, and Attorneys to secure payment of balances outstanding.* Determine appropriate denial codes, post, and track all denial activity for month end reporting. Determine next appropriate action to be taken.* Communicate to the EDI coordinator all denials due to PSR errors that have stopped claims from processing for payment.* Report any potential Master File issues to the Patient Accounts Supervisor that could potentially delay or deny payment.* Identify and resolve any discrepancies in reimbursement amounts with our Third Party Provider Representatives based on contractual agreements/contracts.* Resolve telephone inquiries from various payers' patients receiving statements, co workers, and PSR staff.* Negotiate budget arrangements up to ($150.00) with patients to establish a means of payment when financial assistance is not applicable.* Attend billing and collection seminars as assigned every quarter. Update staff members on regulatory changes.* Maintain the utmost patient confidentiality, billing and HIPAA compliance regulations at all times when accessing the Practice Management and EMR system applications.Requirements Requirements:Experience* 4 years in a Health care setting preferably third party collections. Knowledge of CPT, ICD9 coding and compliance. Medical terminology. Strong communication skills. Strong Investigative skills.* Combination of education and equivalent experience will be consideredEducation* High School Diploma / GED* Some college preferredGLFHC offers a setting that's flexible, rewarding and challenging. If you want to make an impact to the community we serve, apply today!For more information please find us at www.glfhc.org and click on "Join Our Team"Apply On-line Send This Job to a Friend* Programs & Services* For Patients* The Family Pharmacy* Locations* Family Medicine Residency* News & Events* AboutPublic StatementThis health center is a Health Center Program grantee under 42 USC 254b and a deemed Public Health Service employer under 42 USC 233 (g)-(n). No one will be denied access to services at GLFHC due to inability to pay; there is a discounted/sliding fee schedule available based on family size and income.AccreditationsCopyright ?Greater Lawrence Family Health CenterAll Rights Reserved.Website Design by Jackrabbit

Keywords: Greater Lawrence Family Health Center, Methuen , Patient Accounts Collection Representative, Other , Methuen, Massachusetts

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