What are the responsibilities and job description for the Accounts Receivable Insurance Follow Up Collector-Hybrid/Remote position at Bradford Health Services?
We are looking for someone with a solid background in billing and insurance in a health care setting, Customer Service oriented, all while maintaining confidentiality.
Take a step forward in your career with Bradford Health Services.
Position Title: Accounts Receivable Collector
Department: Fiscal Services
Reports To: Revenue Cycle Operations Manager
Supervises: N/A
Position Summary
The Accounts Receivable Collector is responsible for the comprehensive follow-up and resolution of aged healthcare accounts receivable. This includes managing payer denials, conducting detailed account reviews, and ensuring the timely and accurate resolution of outstanding balances. The position requires a strong focus on problem-solving, attention to detail, and the ability to work collaboratively with internal and external stakeholders while maintaining a high level of professionalism and compliance with confidentiality standards.
Qualifications
- Education: High School diploma or GED equivalent required.
- Experience: Minimum of one (1) year of experience in healthcare billing and collections, including working knowledge of payer requirements, insurance denials, and electronic health record systems.
- Skills:
- Proficiency in typing (minimum 50 wpm) and data entry with high accuracy.
- Strong organizational and time management skills.
- Effective communication skills, both verbal and written.
- Ability to work independently with minimal supervision.
- Technical Requirements: Familiarity with billing software, electronic claims submission, and Microsoft Office Suite.
- Physical Requirements: Ability to sit for extended periods (up to 7 hours per 8-hour shift) and to see and hear with or without correction.
- Additional Requirements: If applicable, two years of continuous, verifiable abstinence for individuals in recovery.
Essential Functions
- Perform follow-up on aged accounts receivable to ensure timely resolution of balances.
- Review and analyze payer denials, identify trends, and take corrective action as needed.
- Conduct thorough reviews of patient accounts during the follow-up process to ensure accuracy and completeness of billing.
- Submit accurate and complete claims to insurance companies within one (1) business day of creation.
- Track and follow up on outstanding claims within 14 days of submission and at regular intervals thereafter until resolution.
- Communicate with patients regarding outstanding balances and establish payment arrangements when appropriate.
- Follow up on patient account balances within 30 days of statement mailing and regularly thereafter until resolution.
- Maintain accurate and up-to-date collection notes in the electronic system in compliance with organizational policies.
- Provide regular updates to the Revenue Cycle Operations Manager and other stakeholders regarding account activity and escalations.
- Serve as a professional point of contact for internal and external stakeholders, including insurance companies, patients, and third-party vendors.
- Escalate unresolved or complex issues to the appropriate supervisor in a timely manner.
- Adhere to the provisions of 42 CFR Part 2 (Confidentiality of Alcohol and Drug Abuse Patient Records) and 45 CFR (HIPAA).
- Ensure all credit information and patient account details remain confidential.
- Provide courteous and professional assistance to patients, families, and payer representatives.
- Foster positive working relationships with colleagues, managers, and external contacts.
- Review and recommend accounts for outside collection when necessary.
- Participate in training and professional development activities as required.
- Perform other duties as assigned to support the team and organizational goals.
Core Competencies
- Problem-solving and critical thinking.
- Accuracy and attention to detail.
- Knowledge of insurance billing practices and healthcare regulations.
- Ability to work in a cooperative and collaborative manner.
- Strong ethical standards and commitment to maintaining confidentiality.
Work Environment and Expectations
- Maintain regular attendance and punctuality.
- Work in a fast-paced, deadline-driven environment.
- Ability to remain alert and focused to perform duties safely and effectively.