Job Details

Job Description
Minimum Education:

• Bachelor''s degree in business administration, accounting, finance, or related field

Basic Qualifications:

• Minimum five (5) years collections experience in healthcare organization or related field.

• Minimum two (2) yearsmanagement experience.

Additional Requirements:

• Demonstrated knowledge of related federal and state regulations.

Preferred Requirements:

• One year credit analysis experience.

• Formal credit/collection training.

• Knowledge of Kaiser Permanente health plans and systems.

• Medical claims experience.

Evaluates and monitors statistical and financial data generated by Collections, Insurance, and Billing sections. Manages collection of revenue from patients for services rendered. Supervises assigned staff.

Essential Responsibilities (The primary job duties this position is responsible for achieving are listed in order of importance.)

• Establishes and collaborates with others to enforce all credit and collection policies at all clinics and business offices.

Analyzes charge and total revenues. Develops improved collection methods and procedures; conducts in-service programs on department policies for all employees involved in information/collection process to maximize collection of revenue.

• Analyzes history of delinquent accounts to determine collection potential. Reviews and authorizes write-offs to collection agencies, attorneys; bad debt allowances for non-plan and health plan accounts and uncollectible write-offs on third party accounts. Reviews and approves collection refund requests as appropriate.

• Optimizes system functionality to automate follow-up and collection processes.

• Analyzes allowance for doubtful accounts; generates reports.

• Compiles monthly financial reports to monitor Accounts Receivable.

• Participates in negotiation and administration of contacts with collection agencies to protect organization''s interest in monies due, and amounts paid to collection agencies. Represents organization in counter suits arising from assignment of accounts.

• Analyzes Revenue Cycle opportunities within collection area.

• Participates with outside attorneys in negotiations, compromise settlements and collection of accounts subject to litigation and subrogation.

• Optimizes customer satisfaction by providing excellent Customer Relations support, managing incoming phone inquiries, emails, patient correspondence, and other inquiries regarding patient billing issues.

• Maintains current knowledge of all federal, state, and local regulations relating to extension of credit, billing and allowable follow-up procedures, and all reimbursement procedures of third party and private insurance payers.

• Liaisons to assigned clinics regarding financial issues.

• Participates in national and local work groups related to billing and collection.

• Hires, trains, supervises, counsels, disciplines, and terminates assigned staff as appropriate.

• Communicates goals, objectives, accountabilities, priorities, and authority parameters to assigned staff.

Preferred Qualifications

• One year credit analysis experience.

• Formal credit/collection training.

• Knowledge of Client health plans and systems.

• Medical claims experience.

• **Only those lawfully authorized to work in the designated country associated with the position will be considered.**

• **Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client's business needs and requirements.**