Collections/Insurance Clerk - Physician Management Services

at  Mountain View Hospital Llc

Mountain View Hospital is looking for a Collections/Insurance Clerk to join our team!

JOB SUMMARY:

Performs all duties related to the collection of accounts receivable. Establishes payment arrangements with patients in order to collect accounts. Responsible for maintaining patient accounts from the time they are billed until payment is received. Notes every account worked. Refunds overpayments according to refund policy, assists all billing clerks with additional duties as assigned. Posts payments to accounts that are received in the mail or through the lock box. Files insurance according to rules and regulations.

ABOUT MOUNTAIN VIEW:

Mountain View Hospital and our 29 affiliate clinics are committed to providing compassionate, cutting edge care to our patients. We serve the entire Snake River Valley – all the way from Pocatello to Rexburg. Our medical capabilities span everything from wound care to urgent care, oncology to neurology, physical therapy to speech therapy, a Level III NICU, robust robotic surgery department and a continuously expanding rural health practice.
Our work environment is mission driven, people-centric and supportive. It is what sets apart and makes people excited to come to work each day. If you are looking for a career where you can make a difference in your community, we invite you to apply.
Education/Certification: High school diploma or general education degree (GED).
Experience: One to three months related experience and/or training; or equivalent combination of education and experience.
Equipment/Technology: Ability to use hospital information system, and operate basic computer functions and software.
Language/Communication: Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of the organization.
Mathematical Skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs
Mental Capabilities: Ability to apply common sense to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.
Interpersonal: Ability to work well with others.
Performance: Work under pressure of meeting monthly reporting deadline

1. Collects delinquent accounts, establishes payment arrangements with patients, and follows up to ensure that delinquent accounts are being paid.
2. Evaluates unpaid accounts, to see if they are ready to be written off to bad debt.
3. Receives patient payments on admission and discharge. Posts and makes a daily report of cash receipts. Maintains department records, reports, and files as required.
4. When necessary, sets up financial arrangements. Maintains follow-up accounts to ensure prompt payment.
5. Follow-up on accounts until zero balance is achieved or the account is turned over to collections.
6. Participates in educational programs, in-service meetings and all other meetings as required.
7. Goes through mail daily.
8. Answers inquiries regarding patient accounts.
9. Researches credit balance accounts, refunds overpayment to patient, guarantor, or third party payer.
10. Establishes and implements a system for the collection of accounts. Collects accounts that are not paid-in-full at discharge or at promised date.
11. Maintains patient confidentiality at all times.
12. Responsible for knowing hospital policies and being familiar with hospital services.
13. Accepts and completes other duties as assigned or requested.
14. Sets up all contract accounts.
15. Works on payment arrangements with self-paying accounts that are overdue. Mails all collection letters and reviews accounts on a scheduled basis. Telephones those who do not respond to letters.
16. Established payroll deductions for hospital employees for outstanding patient accounts. Prepares the payroll deduction for hospital employees for outstanding patient accounts. Prepares the payroll deduction form and gives it to the payroll clerk. Responsible for all secondary billing; files all insurances according to state and federal guidelines. Responsible for all BlueCross follow-up until accounts are at a zero balance.
17. The employee is required to comply with all PCI standards and other company policies and procedures for payment card acceptance and security.