at SIU Medicine in Springfield, Illinois, United States
Job Description
Description
The purpose of this position is to ensure that SIU Healthcare is reimbursed for all professional services rendered, through established credit policies and procedures and the implementation of accounts receivable maintenance cycles.
Examples of Duties
30% Collection Activity Duties
Determines that appropriate billing procedures have been completed. If not, the incumbent follows the appropriate course of action required to accurately complete the billing procedure.
Analyzes patient accounts and verifies that insurance billing is complete.
Determines the collection process to be followed in order to resolve the account.
Contacts the patient via telephone or in writing to remind the patient of their obligation OR refers the account to an external collection agency for collection.
Enters and/or verifies all data pertinent to patient's demographic and insurance coverage as obtained during routine performance of duties.
Determines appropriateness of filing an Estate Claim upon notification of patient's death
Interacts with attorney and his/her office staff on legal cases to establish if case is pending, and then monitors progress.
Appeals underpayment by third party payers when appropriate.
Sends Financial Care Assistance applications to guarantors as warranted.
Processes credit card payments.
50% Account Maintenance:
"Skip Trace's" all returned statements and returned correspondence with patient.
Provides support to the customer service team as requested.
Responds to insurance team inquiries.
Processes NSF check returns.
Processes financial care assistance discounts.
Orders personal pay account ledgers
Analyzes & processes weekly and monthly system generated reports.
Responds to correspondence from patients/guarantors.
Determines accounts requiring maintenance and prepares appropriate adjustment corrections.
Analyzes credit balances on accounts, and initiates the appropriate course of action.
10% Reception Area Coverage:
Provides coverage for the department's switchboard as needed. Coverage includes: answering four (4) incoming telephone lines; receiving, greeting, and directing patients/visitors; and answering routine questions. 10% Other duties as assigned.
Qualifications
Any one or any combination of the following, totaling one (1) year (12 months), from the categories below:
college course work that included courses in finance, accounting, business administration, or business management, or a closely related field:
30 semester hours equals one (1) year (12 months)
Associate's Degree (60 semester hours) equals eighteen months (18 months)
90 semester hours equals two (2) years (24 months)
Bachelor's degree (120 semester hours) equals three (3) years (36 months)
collection, consumer credit, or business experience that required knowledge of collection methods and procedures
Supplemental Information
If you require assistance, please contact the Office of Human Resources at hrrecruitment@siumed.edu or call 217-545-0223 Monday through Friday, 8:00am-4:30pm.
The mission of Southern Illinois University School of Medicine is to optimize the health of the people of central and southern Illinois through education, patient care, research and service to the community.
The SIU School of Medicine Annual Security Report is available online at https://www.siumed.edu/police-security. This report contains policy statements and crime statistics for Southern Illinois University School of Medicine in Springfield, IL. This report is published in compliance with Federal Law titled the
"Jeanne Clery Disclosure of Campus Security Policy and Crime Statistics Act."
Southern Illinois University School of Medicine is an Affirmative Action/Equal Opportunity employer who provides equal employment and educational opportunities for all qualified persons without regard to race, color, religion, sex, national origin, age, disability, sexual orientation, protected veteran status or marital status in accordance with local, state and federal law.
Pre-employment background screenings required.
Southern Illinois University School of Medicine is an Equal Opportunity Employer.