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JOB DESCRIPTION SUMMARY:

This position is responsible for ensuring the integrity and validity of the collection workflow for the PFS unit, the extended business offices and external vendors. This position performs quality assurance checks by auditing accounts, analyzing data, showing trends, and making process change/improvement recommendations. This position is responsible for on-going staff training as it relates to the function of the PFS unit and will coordinate and provide expertise to the Revenue Cycle Education Team as it relates to training materials, department specific tasks, etc.

MINIMUM QUALIFICATIONS:

High School or GED (Required)

ADDITIONAL JOB DESCRIPTION:

Knowledge of Fair Debt Collection Practices Act, collection practices, medical billing, basic math, Microsoft Excel, and Microsoft Word. Requires analytical skills that can convert findings to process change/improvement. Two years of self-pay collection Experience along with data summarization and analysis in a medical office or hospital.

40%
Completes paper and electronic quality assurance audits on accounts to ensure proper follow up workflow, including but not limited to appropriate follow-up, appropriate documentation, escalation process, exception reports, account notes, etc. Tabulates results for the monthly associate scorecards, analyzes results, shows trends and gives recommendations for process change/improvement.
25%
Perform audits on external vendors to ensure appropriate and timely follow-up. Tabulates results, analyzes results, shows trends and gives recommendations for process change/improvement.
30%
Provide on-going and new hire training on correct department policies, including but not limited to appropriate follow-up, QMS workflow, denial resolution, billing compliance and payer websites. Provide expertise regarding development of training materials to the Revenue Cycle Education Team.
5%
Other duties as assigned.