Description

PUYALLUP TRIBAL HEALTH AUTHORITY, located in Tacoma Washington, is seeking a full time Collections Specialist.

“It is the mission of the Puyallup Tribal Health Authority to provide quality healthcare and promote wellness in a culturally appropriate manner.”

We offer an outstanding workplace, competitive market based salary, and benefits packages including:

• Monday – Friday schedule
• Medical/Dental/Vision benefits – monthly premiums paid 100% for employees
• 19 annual paid holidays
• Generous paid sick and vacation accruals
• 401(k) with annual profit sharing
• Life & AD&D insurance coverage
• Employee Assistance Program
• Excellent work/home life balance

GENERAL FUNCTION: Assist Puyallup Tribal Member patients with the collection process to resolve issues and prevent future collection actions.

ESSENTIAL FUNCTIONS:

• Effectively communicate with patients regarding their collection account status of claims to ensure resolution and reconciliation of issues.
• Request necessary adjustments to referral authorizations to reflect adjudication activities .
• Respond to patient, external providers, and agency inquiries into the status of claims payment issues within two days of receiving collection notice.
• Efficiently answers all voice messages before the end of each business day 90% of the time.
• Work collaboratively across departments with staff in Referral Services, Patient Access, Patient Accounts, etc. to gather information and address PTM patient service issues pertaining to referrals and claims.
• Maintain and document patient electronic health record for tracking appointments, data information and departmental activities on a daily basis.
• Effectively communicate to patients the referral and or notification process for claims received missing referrals or notification of services to avoid collection actions.
• Compile correspondence and respond to patient and/or vendors within a week of Collection resolution.
• Orders and maintains inventory of office supplies and materials on a monthly basis.
• Compile research and prepare reports by requested deadline.

Requirements

• Associates degree in Business, Healthcare or related field. Will substitute a high school diploma and an additional two years’ patient accounts administrative experience in a medical or mental health facility for associates degree requirement.
• Two years’ administrative experience in a medical or mental health facility.
• Minimum one year collection experience in a healthcare setting.
• Intermediate to advanced proficiency in use of MS Office products including: Word, Excel, PowerPoint and Outlook.
• Demonstrable knowledge of medical billing and coding.
• Demonstrable knowledge of health insurance and benefits.