Job Summary
Responsible for managing the credit and collections process, ensuring timely and efficient collection of receivables, and minimizing financial risk associated with patient accounts. The role involves working closely with patients, insurance companies, and internal departments to ensure accurate billing and prompt payment.
Key Responsibilities:
Credit Assessment and Approval:
Assess the creditworthiness of patients and third-party payers.
Establish credit terms for patients based on hospital policies and patient financial information.
Accounts Receivable Management:
Monitor patient accounts to ensure timely collection of outstanding balances.
Conduct regular reviews of overdue accounts and take appropriate actions to recover outstanding debts.
Prepare and distribute monthly aging reports to the finance manager and relevant departments.
Patient Billing and Collection:
Ensure accurate and timely billing of patient accounts.
Follow up with patients and insurance companies on unpaid or disputed bills.
Provide clear communication to patients regarding their financial obligations and available payment options.
Insurance Claims Management:
Work with insurance companies to resolve denied or delayed claims.
Ensure proper documentation and submission of claims to maximize reimbursement.
Follow up on outstanding insurance claims and appeals.
Reporting and Analysis:
Prepare and present regular reports on credit and collection activities.
Analyze trends and provide insights and recommendations for improvement.
Ensure accurate and up-to-date records of all credit and collection activities.
Compliance and Risk Management:
Ensure compliance with relevant laws and regulations related to healthcare billing and collections.
Identify and mitigate potential credit risks to the hospital.
Collaborate with the finance team to manage bad debt provisions and write-offs.
Customer Service and Relationship Management:
Maintain regular contact with patients to ensure timely payments and resolve any issues related to billing and collections.
Build and maintain strong relationships with insurance companies and other third-party payers.
Provide excellent customer service to patients and their families regarding their financial obligations.
Qualifications and Skills:
Education:
Bachelor’s degree in Finance, Accounting or a related field.
Experience:
Minimum of 3-5 years of experience in credit control, accounts receivable, or a similar role, preferably in a healthcare setting.
Technical Skills:
Proficiency in healthcare billing software and Microsoft Office Suite, particularly Excel.
Knowledge of healthcare billing and insurance claim processes.
Soft Skills:
Strong analytical and problem-solving skills.
Excellent communication and interpersonal skills.
Ability to work under pressure and manage multiple tasks simultaneously.
High level of accuracy and attention to detail.
Empathy and understanding when dealing with patients in financial distress.
Apply via :
jacarandamaternity.applytojob.com
