Billing/Collection- Representative

Maui Medical Group Wailuku, 2180 Main Street, Wailuku, Hawaii, United States of America Req #76
Wednesday, March 17, 2021
Health Care Excellence for Maui since 1961 - The leading provider of  quality health care for the residents and visitors of Maui as measured by :
–  patient satisfaction
–  patient outcomes
–  staff employment satisfaction

Position Title

Department

COLLECTION/BILLING REPRESENTATIVE

COLLECTION/BILLINGS

INSTRUCTIONS:

In Section A briefly describe the overall purpose of this position.  Describe the position so that someone who does not know the position will understand it.  In Section B describe the specific tasks or duties.  The percentage of time spent performing the major job responsibilities is used for job evaluation purposes only.  In Section C list the minimum qualifications, type of equipment used (including the frequency), characteristics, environmental factors relating to this position.

SECTION A: OVERALL PURPOSE OF THE POSITION

The Billing/Collection representative is responsible for the patient collections process.  This includes collecting payments, establishing budgets with patients, patient’s outstanding balance follow-up, corresponding with insurance companies, verifying insurance eligibility, and following up on status of payment with patient/guarantor, insurance companies and/or adjustors.

 

SECTION B: MAJOR JOB RESPONSIBILITIES

*

PERCENTAGE

1.      Always in a professional manner, contacts patients to follow up on past due accounts following MMG collection guidelines. 

  • Works to secure payment from patient for outstanding amounts
  • Where appropriate, works with patient to create a budget or payment plan
  • Answers patient inquiries regarding their account
  • Works to reduce assigned accounts receivable in accordance with MMG billing guidelines  
  • Issues appeals with insurance companies
  • Correspond with insurance companies and adjustors (verbally and/or in writing) to verify status of claim

 

 

65

2.      Works with outside collection agency(s) to collect delinquent accounts.

 

*

10

3.      Always maintains confidentiality in accordance with MMG and HIPAA guidelines.

 

*

10

4.      Interacts with Sr. Billing/Collection Representative and co-workers to expedite efficient and timely collections referrals.

 

*

5

5.      All other miscellaneous responsibilities and duties as assigned including coverage for the front desk area

 

 

5

6.      Demonstrates quality work, completes assignments on a timely basis, and makes decisions within limits of authority.   Takes initiative in problem solving, maintains confidentiality of patient and company information, and interacts with patients, co-workers, and management in a courteous and respectful manner.  Adheres to all company policies and procedures.

 

 

2.5

 

7.      Maintains attendance standards consistent with company policy.

 

 

2.5

 

TOTAL:

           100%

 

Enter an asterisk (*) in this column to indicate Major Job Responsibilities that are essential functions.

 

SECTION C: OTHER INFORMATION

 

 

RESPONSIBLE TO:

COLLECTION/BILLING SUPERVISOR

 

SUPERVISES:

N/A

 

 

MINIMUM QUALIFICATIONS:

Education/Experience -

High School diploma or equivalent. One year of physician billing and collections, Medical insurance administration, or related experience.

 

Skills/Knowledge -

Possesses effective organization, and math skills, must be able to prioritize and manage multiple tasks at the same time. Possesses effective, courteous and professional telephone skills.

 

Desired/Preferred Qualifications:

 

Knowledge of medical terminology, course work in business office administration.

Equipment Use:

Personal, computer, typewriter, telephone, 10-key, and fax machine.

 

Characteristics

Must be willing to effectively participate as a team member with the entire Maui Medical Group staff, must be committed to the protection of confidential information, records, and/or reports. Must have the ability to communicate effectively in a professional and courteous manner.

 

Environmental Factors:

Requires prolonged sitting (75%), bending, stooping and stretching for files and supplies (10%).  Requires manual dexterity sufficient to operate a keyboard and other office equipment.  Vision must be correctable to 20/20 and hearing must be in the normal range for telephone contacts.

 

Maui Medical Group is an equal employment opportunity/affirmative action employer. We actively seek diversity among our employees. We do not discriminate on the basis of age, race, color, religion, sex/gender (including gender identity/expression), ancestry/national origin, disability, marital status, arrest and court record, sexual orientation, pregnancy, veteran status, genetic information, domestic or sexual violence victim status, or other protected categories in accordance with state and federal laws. We further encourage individuals with disabilities, minorities, and veterans to apply.

Other details

  • Job Family Business Office/Support
  • Pay Type Hourly
  • Required Education High School
  • Maui Medical Group Wailuku, 2180 Main Street, Wailuku, Hawaii, United States of America