Job Description:POSITION SUMMARY: This position is responsible for the day-to-day operations of billing, collections, to including procedure development, internal and external communications, statistical reporting, trend analysis, issue resolutionESSENTIAL AND RESPONSIBILITIES OF POSITION: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned. * Maintain positive working relationships with internal departments (Finance, Patient Access, Coding, HIM), external vendors (insurance carriers, government agencies, claims clearinghouse, collection agency) and members of the Patient Accounting peers.
Assist in the Development, implementation, revision, and monitoring of procedures in support of billing and collection policies.
Provide training to new and established employees as determined by management.
Work with peers for account resolution and keep them abreast patient or carrier specific trends and/or issues.
Maintain competency in functional area of assignment through daily work processes, professional development, literature review, seminars, networking, etc.
Maintain QA program to ensure appropriate management of patient accounts within area of responsibility.
Coordinate projects assigned by management
Ensure processes support data driven feedback both internally and to the front-end to improve revenue cycle processes and reduce re-work.
Provide Customer Service for escalated patient issues.
Provide coverage for peers when needed.
POSITION REQUIREMENTSEducational RequirementsHigh School Diploma/Equivalent - preferredLicensure, Certification and Registration - N/AWork Orientation and Experience5 years prior experience in hospital collections. Strong payer knowledge base.Extremely accurate with figures and data entry.Knowledge, Skills and AbilitiesStrong analytical skill a must.Must be able to work unsupervised.Must be able to work with a calculator, PC and ExcelAll other duties as assigned or requestedOther Requirements Specific to Assigned AreaREPORTING RELATIONSHIPSSupervision Received by Patient Accounts Manager and Patient Accounts Director.Supervision Exercised - N/AINTERPERSONAL RELATIONSHIPSCommunicates daily in person or by telephone with hospital staff and insurance companies. Must also be able to handle sensitive situations in a professional and confidential manner.TOOLS/EQUIPMENT USEDCalculator, Facsimile machine, PC, Telephone, Internet, Copy machine, Printer.PHYSICAL ENVIRONMENT/WORKING CONDITIONSTypical health care environment, stress due to multiple demands, shifting priorities and tight timeframes. Little or no risk of exposure to body fluids, infectious waste or blood borne disease.This job description identifies the general nature and level of work to be performed. It is not to be considered an exhaustive list of responsibilities, duties or skills required of an incumbent.Revised 8/28/25
