What are the responsibilities and job description for the COLLECTOR/COLLECTIONS REP position at TexomaCare?
Responsibilities:
Independence Physician Management (IPM), a subsidiary of UHS, was formed in 2012 as the physician services unit of UHS. IPM develops and manages multi-specialty physician networks and urgent care clinics that align with UHS acute care facilities. It also provides select services for the Behavioral Health division of UHS. Through continuing growth, IPM operates in 11 markets across six states and the District of Columbia. Our leadership team, practitioners, and teams of healthcare professionals are collectively dedicated to improving the health and wellness of people in the communities we serve.
The Collections Specialist is responsible for making outgoing call to IPM guarantors to collect self-pay balances for professional services provided. Audits accounts for accuracy to ensure that past due balances are patient responsibility. Triages calls in an efficient manner if insurance responsibility is identified. Answers guarantor inquiries regarding charges, insurance, and explanation of benefits (EOBs). Collects and posts payments to the Practice Management System (PMS). Establishes payment plans adhering to Central Billing Operations (CBO) policy (threshold/terms, propensity to pay scores, promissory notes) and timely follow-up to maximize collections and optimize collection return on investment (ROI). Meets or exceeds established performance targets (productivity and quality) established by the Customer Service and Patient Collections Manager.
Benefit Highlights
About Universal Health Services
Qualifications:
Work experience: Experience (3-5 years minimum) working in a healthcare (professional) billing, health insurance or equivalent operations work environment. Minimum 2 years medical collections experience.
Knowledge: Healthcare (professional) billing; knowledge of CPT/ICD-10 coding, government, managed care and commercial insurances, claim submission requirements, reimbursement guidelines, and denial reason codes. Patient collections; state and federal regulations regarding compliance, patient privacy and ethical billing, collection practices (including payment plans) and self-payment processing. Understanding of the revenue cycle and how the various components work together preferred.
Skills: Excellent organization skills, attention to detail, research and problem solving ability. Results oriented with a proven track record of accomplishing tasks within a high-performing team environment. Service-oriented/customer-centric. Strong computer literacy skills including proficiency in Microsoft Office.
bout Texomacare
Our experienced team of physicians is dedicated to caring for all members of the family at every stage of life. TexomaCare is comprised of primary care physicians and a variety of specialists in nine local communities. Working with TexomaCare means you will work with a care team of physicians, advanced practitioners, and staff who provide compassionate and quality care. TexomaCare is proud to be affiliated with Texoma Medical Center (TMC), the Texoma region’s leader in hospital services. Texoma Medical Center is a 414-bed acute care facility located in Denison, Texas, approximately one hour north of the Dallas/Fort Worth metroplex and just south of the Texas/Oklahoma border. More than 3,500 employees, 400 multi-specialty physicians, and over 100 volunteers have helped to support the hospital in delivering quality, patient-focused care to the Texoma region for over 50 years.
Independence Physician Management (IPM), a subsidiary of UHS, was formed in 2012 as the physician services unit of UHS. IPM develops and manages multi-specialty physician networks and urgent care clinics that align with UHS acute care facilities. It also provides select services for the Behavioral Health division of UHS. Through continuing growth, IPM operates in 11 markets across six states and the District of Columbia. Our leadership team, practitioners, and teams of healthcare professionals are collectively dedicated to improving the health and wellness of people in the communities we serve.
The Collections Specialist is responsible for making outgoing call to IPM guarantors to collect self-pay balances for professional services provided. Audits accounts for accuracy to ensure that past due balances are patient responsibility. Triages calls in an efficient manner if insurance responsibility is identified. Answers guarantor inquiries regarding charges, insurance, and explanation of benefits (EOBs). Collects and posts payments to the Practice Management System (PMS). Establishes payment plans adhering to Central Billing Operations (CBO) policy (threshold/terms, propensity to pay scores, promissory notes) and timely follow-up to maximize collections and optimize collection return on investment (ROI). Meets or exceeds established performance targets (productivity and quality) established by the Customer Service and Patient Collections Manager.
Benefit Highlights
- Retention Bonus Program if offered.
- Loan Forgiveness Program if offered.
- Challenging and rewarding work environment
- Competitive Compensation & Generous Paid Time Off
- Excellent Medical, Dental, Vision, and Prescription Drug Plans
- 401(K) with company match and discounted stock plan
- SoFi Student Loan Refinancing Program
· Career development opportunities within UHS and its 300 Subsidiaries! · More information is available on our Benefits Guest Website: benefits.uhsguest.com
About Universal Health Services
One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS), has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $15.8 billion in 2024. UHS was again recognized as one of the World’s Most Admired Companies by Fortune; listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 99,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities, and ambulatory care access points,
an insurance offering, a physician network, and various related services located all over the U.S., Washington, D.C., Puerto Rico, and the United Kingdom. www.uhs.com
Qualifications:
Education: High School Graduate/GED required. Technical School/2 Years College/Associates Degree preferred.
Work experience: Experience (3-5 years minimum) working in a healthcare (professional) billing, health insurance or equivalent operations work environment. Minimum 2 years medical collections experience.
Knowledge: Healthcare (professional) billing; knowledge of CPT/ICD-10 coding, government, managed care and commercial insurances, claim submission requirements, reimbursement guidelines, and denial reason codes. Patient collections; state and federal regulations regarding compliance, patient privacy and ethical billing, collection practices (including payment plans) and self-payment processing. Understanding of the revenue cycle and how the various components work together preferred.
Skills: Excellent organization skills, attention to detail, research and problem solving ability. Results oriented with a proven track record of accomplishing tasks within a high-performing team environment. Service-oriented/customer-centric. Strong computer literacy skills including proficiency in Microsoft Office.
Salary : $16