Account Analyst I (Cust Svc\Self-pay Collector)

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Analyzes accounts to assure AC has appropriately sought payment from third-party payers available to the guarantor. Collects Self Pay portion of balances for billed patient medical services. Contacts guarantors  to aid in timely and appropriate resolution of their debt. Works within applicable collection laws and hospital policies relative to debt collection. Advises guarantors of assistance and provide help in applying for Medicaid, prompt pay discounts, payment plans, etc. Provides prompt, accurate, and courteous responses to customer questions and concerns regarding their patient accounts at AC System. Uses broad and specific medical reimbursement knowledge to properly resolve customer needs. Strong communication, interpersonal, follow-up, and problem-solving skills are essential to the job. Encourages payment of self pay debt obligation when appropriate.

1. Collects money from guarantors for amounts they are personally responsible for paying.

2. Acts in compliance with applicable collection laws and hospital policies/procedures related to personal collections (which requires knowledge of those policies/procedures and laws).

3. Analyzes guarantor account balances to assure that balance has appropriately been assigned to the guarantor. Utilizes knowledge of insurance payment principles to identify amounts that need prorated back to insurance responsibility.

4. Processes information in account history and asks key questions to ascertain whether guarantor has other payer sources, is likely to qualify for other payer programs (e.g., Medicaid, ARKids, Liability insurance, etc.), or might qualify for Financial Assistance programs.

5. Seeks full payment of guarantor responsibility, using professional collection skills (including skip tracing ability). Communicates complex medical/reimbursement information to customers who frequently have little or no technical knowledge, so that customer can understand why they owe us money.

6. Uses good judgment in determining those cases where guarantor cannot make full, lump sum payment, and suggests payment plans or prompt pay discounts that maximize collections without harm to family.

7. Maximizes self pay collections and expedites payment while showing respect and compassion for guarantor and child.

8. Uses exceptional organizational/prioritization skills to effectively work high volume of guarantor accounts. Uses exceptional follow-up skills to assure payment promises are kept.

9. Provides prompt, accurate, and courteous responses to customer questions and concerns regarding their patient accounts at AC.

10. Communicates by telephone, in writing, and face-to-face to respond to customer inquiries.

11. Utilize broad and specific medical reimbursement knowledge to properly resolve customer needs.

12. Utilize problem-solving, follow-up and interpersonal skills to resolve customer needs.

13. Encourage payment of self pay debt obligation when appropriate to situation.

14. Performs other duties as assigned.