Researches and responds to patient and/or Commercial insurance inquiries timely, effectively and according to policies and procedures resulting in resolution and offers assistance to co-workers, when needed.
At all times, provides professional and exceptional customer service when interacting with internal and external customers resulting in resolution.
Monitors staff documentation in the financial system ensuring accuracy and appropriate information to move the account towards payment.
Makes suggestions and/or oversees implementation of enhancements within the department and seeks to improve collections efforts.
While performing job duties observes and refers concerns to Manager for corrective actions
Demonstrates and shares knowledge of hospital account management and Commercial collections skills with co-workers.
Acts as a liaison between the hospital and outside agencies ensuring that the accounts are processed in a timely manner.
“Other duties as assigned”
Minimum 5 years of experience and understanding of hospital contracts, exclusions and stop-loss language and calculations and hospital Commercial billing or collection processes
Management experience a plus
Excellent written and verbal communication skills
Ability to analyze data and benefit information
Understand and follow oral and written instructions
Interact tactfully and courteously with the public, peers, and subordinates
Proficient organizational and prioritization skills
Adhere and apply specific departmental policies, rules and regulations
Positive work ethics
Knowledge of medical terminology
Microsoft Office and Outlook experience
Internal Number: MEM003339
Let us introduce ourselves. We're MemorialCare, a nonprofit health system that includes four hospitals, two medical groups, imaging centers, surgical centers and much more. As one of the leading health systems in Orange County and Los Angeles County, we're confident that no matter what your needs are, we have the teams, tools and know-how to support you every step of the way.