Sanford Health Patient Accounts Representative - PFS Collections in Sioux Falls, South Dakota
Job Title: Patient Accounts Representative | PFS Collections | Sioux Falls
City: Sioux Falls
State: South Dakota
Department : PFS Collections
Job Schedule: Full Time
Hours Per Shift: 8 hr
Primarily concerned with the billing and collection of accounts receivable. Coordinates activities with third party
agencies, insurance companies and patient. Engages in a program of follow-up on delinquent accounts. Responsible for the
correct and accurate maintenance of records. Have initiative, common sense and the ability to use discretion and
independent judgment in making decisions in varied situations as it relates to patient accounts. Be firm in a courteous and
tactful manner in dealing with patients. Does follow-up on the Accounts Receivable Aging Analysis to make sure all accounts
are being worked. Handles the calls from patients or responsible parties of accounts. Also, handles calls from individuals who
may be entering the hospital at a future date. Responsible for all follow-up in connection with the collection of account
balances due. This will include contacts by telephone with insurance companies and agents, other departments of the
hospital, patients, etc. Collection notes will be reviewed at appropriate time intervals for determination of further collection
action. This action may include telephone contact or computer generated collection letters. Maintenance of accurate
information within the computer system to enable others to determine where the account is within the collection process. Will
handle incoming telephone inquiries and incoming mail on all accounts within their responsibility. This will include the writing
and typing of correspondence in answer to these inquiries. Will review accounts and determine when all collection efforts by
the hospital have been exhausted and then refer the unpaid account on for further collection action with the collection agency.
Will work closely with the collection agency in the correlation of the information to enable the collection agency to correctly
deal with the accounts. The work day will be 90-95% spent on the phone either receiving calls, or making collection calls to
patients, physicians, departments or insurance companies. Consistently demonstrates ability to input data accurately into
computer system. Consistently ensures data is entered accurately and in timely manner. Consistently answers the telephone
courteously by the third ring. Consistently takes accurate messages by repeating key information to verify accuracy.
Maintains and updates computer skills as needed for work assignments. Demonstrates the ability to utilize software
applications for maximum efficiency. Consistently demonstrates the ability to efficiently and effectively manage all claims.
Consistently ensures all accounts are processed within a timely manner. Consistently ensures verbal communication is
courteous, complete, and professional whether using phone or personal contact (co-workers). Consistently ensures written
communication is accurate, complete, and professional in look whether word processing or using email. Ensures all reports
are accurate and completed in a timely manner. Be able to work with growth and development needs of unique client
populations. Strong communication skills. Be able to utilize all office equipment including personal computer and application
software, printer, FAX, copier, multi-line telephone system. Excellent written and oral communication skills, including English
usage, grammar, punctuation, and style. Ability to use appropriate reference materials. Ability to multi-task. Good working
knowledge of collection laws as well as requirements of collection agencies mandated under the FDCPA standards. Have
good working knowledge of submission of claims for all payors. Be able to manually calculate patient portion based on
insurance benefits, though the system will calculate the same information. Have good working knowledge of all collection
policies set forth by the Accounts Receivable department. Tact and courtesy in dealing with patients. Cooperation with other
workers. Memory for detail. Considerable initiative and judgment involved in estimating credit risks, devising plans for
payment and collecting delinquent accounts. Familiarity with Data Processing capabilities and procedures is necessary.
Possess problem solving skills, as well as the ability to work and communicate effectively with other department supervisors
and management. Be of sound character.
Works with vendors to assure that products or services are delivered to time and quality specifications. Utilizes privacy standards when sharing, accessing and storing data. Collects required data through various data sources. Applies the concept of collaboration to build relationships and coordinate with other teams. Selects most appropriate communication approach depending on message and audience. Uses a variety of computer hardware, operating systems, utilities and applications. Explains the relationships with claims adjusters, insurance companies, outside legal counsel, and other claims related parties. Describes major tasks and responsibilities of a customer support function Seeks information from resources such as major industry publications and professional associations. Participates in major data entry operations department or roles. Clarifies basic principles, processes and terminology related to the insurance business. Maintains accounts receivable records as a regular part of daily work.
The Patient Accounts Representative will spend 90-95% of their day on the phone either receiving calls, or making collections calls to patients, physicians, departments or insurance companies. The hours for this position are Monday-Thursday 9:30-6:00 p.m. and Friday 8:30-5 p.m. This position will sit in either Fargo, ND or Sioux Falls, SD.
Minimum of a high school education, however, some trade course classes in accounting, business and communications would be very helpful in this position. Previous experience in billing preferred but not required. Call Center experience preferred.
About Sanford Health:
At Sanford Health, we are dedicated to the work of health and healing.
Every day, we show that commitment by delivering the highest quality of care to the communities we serve.
We are leaders in health care and strive to provide patients across the region with convenient access to expert medical care, leading-edge technologies and world-class facilities.
In addition to strong clinical care, we are also committed to research, education and community growth.
We engage in medical research to not only discover innovative ways to provide care, but also cures for common diseases.
We continuously seek new ways to achieve our vision of improving the human condition here in your community,
across the region and around the world.
The entire team at Sanford Health recognizes the value of healthy families and communities.
We continue to gain momentum and expand our reach. Together, we can make a positive difference now, and in the future.
Sanford is an EEO/AA Employer M/F/Disability/Vet.
If you are an individual with a disability and would like to request an accommodation for help with your online application,
please call 1-877-673-0854 or send an email to firstname.lastname@example.org .
In compliance with federal law requiring employers to verify new employees' U.S.
employment eligibility, Sanford participates in E-Verify. To learn more click here for English Version at https://e-verify.uscis.gov/emp/media/resourcesContents/EverifyPosterEnglish.pdf or here for Spanish Version at https://e-verify.uscis.gov/emp/media/resourcesContents/EverifyPosterSpanish.pdf .
City: Sioux Falls
State: South Dakota
Job Function: Revenue Cycle
Job Schedule: Full Time
Req Number: req21704