PFS Collector Georgia

Description: Job Summary:

Monitors patient and insurance accounts receivables, in order to achieve and maintain department aging guidelines. Makes pro-active attempts, using various communication tools, to contact collectable accounts within assigned financial classes. Makes members/patients and their needs a primary focus of ones actions; develops and sustains productive member/patient relationships. Actively seeks information to understand member/patient circumstances, problems, expectations, and needs. Builds rapport and cooperative relationship with members/patients. Considers how actions or plans will affect members; responds quickly to meet member/patient needs and resolves problems.

Essential Responsibilities:

• This position, knows and complies with all Kaiser Permanente quality, safety, and emergency policies and procedures. Demonstrates quality and effectiveness in work habits and clinical practice in every interaction with patients, colleagues, providers, and leadership. Ensures patient safety in the preparation and provisioning of care related to but not limited to medications, procedures, infection prevention, fall prevention, including consistent use of two patient identifiers and procedural time outs. Reports safety hazards, accidents and incidents, and unsafe working conditions promptly.
• Monitors patient and insurance accounts receivables, in order to achieve and maintain department aging guidelines.
• Maintains active knowledge of quarterly changes and updates to payor regulations.
• Works all accounts in assigned Work Queues per department guidelines. Performs adjustments within department guidelines.
• Makes pro-active attempts, using various communication tools, to contact collectable accounts within assigned financial classes.
• Reviews account records, by resolving issues or questions and supplying any needed available documentation in order to secure maximum payment.
• Accurately interprets and works denials, as well as Explanation of Benefits.
• Give detailed explanations of account history, accurately note account activity in appropriate places with systems of record.
• Responsible for reviewing accounts for possible legal action and/or bankruptcy notification, and initiating appropriate action.
• Reviews accounts for potential refunds, and initiates paperwork and/or documentation when appropriate.
• Receives and works correspondence within department guidelines.
• Acts as a liaison or department representative regarding billing issues.
• Provides technical and clerical support, when needed.
• Provides training as assigned to new employees as well as cross-training.
• Performs other duties as assigned by management.

Basic Qualifications:

Experience

• Minimum two (2) years of medical billing and two (2) years of health care collections experience required OR four (4) years of collection experience required.

Education

• High School Diploma or General Education Development (GED) required.

License, Certification, Registration

• N/A

Additional Requirements:

• Must pass basic MS Word and Excel tests with 80% accuracy.
• ICD 9, CPT coding and medical terminology exposure, as they relate to collections, required.
• Knowledge of current insurance rules and regulations.
• Proven ability to research, resolve and accurately document complex billing issues.
• Proven ability communicating and explaining complex issues in writing and verbally.
• Ability to work cooperatively in a team environment.
• Must be detail oriented.
• Demonstrated customer service skills, customer focus abilities and the ability to understand Kaiser Permanente customer needs.

Preferred Qualifications:

• N/A

Primary Location: Georgia,Atlanta,Regional Office - 10 Piedmont

Scheduled Weekly Hours: 40

Shift: Day

Workdays: Mon, Tue, Wed, Thu, Fri

Working Hours Start: 08:00 AM

Working Hours End: 05:00 PM

Job Schedule: Full-time

Job Type: Standard

Worker Location: Remote

Employee Status: Regular

Employee Group/Union Affiliation: NUE-GA-01|NUE|Non Union Employee

Job Level: Individual Contributor

Department: Regional Office - 9 Piedmont - Rev Cycle Administration - 2808

Pay Range: $61200 - $79090 / hour The ranges posted above reflect the location in the job posting. The salary range may vary if you reside in a different location or state than the location posted.

Travel: No

Remote: Work location is the remote workplace (from home) within KP authorized states. Worker location must align with Kaiser Permanente's Authorized States policy. At Kaiser Permanente, equity, inclusion and diversity are inextricably linked to our mission, and we aim to make it a part of everything we do. We know that having a diverse and inclusive workforce makes Kaiser Permanente a better place to receive health care, a more supportive partner in our communities we serve, and a more fulfilling place to work. Working at Kaiser Permanente means that you agree to and abide by our commitment to equity and our expectation that we all work together to create an inclusive work environment focused on a sense of belonging and wellbeing.

Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status. Submit Interest