Providence Self Pay Specialist (FTE 1.0, Days) - Telecommute in Yorba Linda, California
Providence St. Joseph Health is calling a Self Pay Specialist - Telecommute (Full-Time, Day Shift) to our location in Yorba Linda, CA.
We are seeking a Self Pay Specialist who will contribute to the achievement of service delivery, performance standards, and financial targets by:
• Resolving large balance accounts effectively.
• Skip tracing to ensure optimal opportunities for account resolution.
• Re-establishing defaulted payment plans.
• Resolving exceptions to ensure the proper flow of accounts through the self pay process.
• Minimizing accounts written off to internal bad debt.
• Working the Precollect inventory to minimize bad debt referrals to third party collection agencies.
The incumbent performs all duties in a manner that promotes the Providence mission, values, and philosophy. In all aspects, the incumbent serves as a role model for the values and mission of the organization.
In this position you will have the following responsibilities:
Primary focus is self pay collection activity.
Ensuring PH&S patients have a positive customer experience while resolving patient accounts timely.
Monitors service level, Quality Assurance, Workforce Management, etc.
Work large balance, payment plan default and internal bad debt accounts.
Make outbound calls to request payment of account balance, negotiate payment plans or utilize other account resolution methods while achieving established call quality standards.
Help to ensure Charity and Collection Activity is carried out timely, accurately, and with PH&S Missiona and Core Values in mind at all times.
Send specialized letters to assist with coordination of information between patients and insurance companies to obtain payment on claims.
Review accounts and prescreen patients for potential financial assistance discounts.
Review potential bad debt accounts to determine suitability for outside collection efforts or bring to final resolution. Ensure that all known contract insurances have been properly billed and verify that the balance is true patient responsibility.
Analyze billing issues and patient questions to determine next course of action such as updating status codes and fiscal fields.
Log and resolve lower level patient complaints and refer more complex complaints to Customer Care Coordinators.
Follow-up on Collection Agency complaints as necessary across regions.
Research payment discrepancies by retrieving documents and coordinate appropriate corrections.
Request adjustments in line with company guidelines and approval authority limits.
Report recurring problems.
Maintain accurate, clear, concise, and complete account information in Providence Health & Services primary system.
Promote Providence Health & Services as a premier service organization by treating customers with compassion and respect and ensuring that service delivery targets are met.
Closely adhere to set schedules and handle time standards.
Maintain confidentiality of all patient demographic, medical, and financial information. Maintain confidentiality of all Providence Health & Services Revenue Cycle and client information. Ensure proper handling and disposal of confidential documents and adherence to all HIPAA rules and regulations.
Comply with all applicable Federal, State, and local laws, regulations, and requirements as well as Providence Health & Services policies and procedures in all aspects of job performance.
Required qualifications for this position include:
High school diploma or GED.
2 years experience in customer service.
Preferred qualifications for this position include:
Associates or Bachelor's degree.
Staff coming on board as “on-call” (non-benefited) may have the education and experience requirements waved.
About the department you will serve.
One Revenue Cycle (ORC) is the name adopted to reflect the Providence employees who work throughout Providence Health & Services (PH&S) in revenue cycle systems and structures in support of our ministries and operations in all regions from Alaska to California. ORC’s objective is to ensure our core strategy, One Ministry Committed to Excellence, is delivered along with the enhanced overall patient care experience (know me, care for me, ease my way) by providing a robust foundation of services, operational and technical support, and the sharing of comprehensive, relevant, and highly specialized revenue cycle expertise.
For information on our comprehensive range of benefits, visit:
As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.
Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
Job Category: Billing/Insurance
Location: California-Yorba Linda
Req ID: 281728