BILLING/COLLECTIONS SPECIALIST
Evergreen Family Medicine is committed to providing excellent care for your family with clinics in Roseburg , Sutherlin and Myrtle Creek Oregon. Evergreen Family Medicine serves outpatient needs, including Urgent Care, Family Practice, Women’s Health, Occupational Health, and school-based telehealth.
Evergreen Family Medicine is a Drug Free Workplace. All candidates that are offered employment will be required to pass a pre-employment drug screen and background check.
Responsibilities and Duties: • Maintains confidentiality according to HIPAA regulations and EFM policies. • Adheres strictly to EFM departmental standards and policies, including state and federal regulations. • Communicates effectively and professionally with co workers, managers and patients via phone, email or in person. • Schedules work flow and establishes priorities for timely billing and follow up. • Ensures all Hold claims lists assigned are worked on a weekly basis. • Identify ongoing issues and trends that can be corrected or improved in areas affecting billing; these may include areas of posting, claim hold's, take backs, kick codes, or insurance. • Ensures AR postings of all insurance payments and refunds. • Works with front office staff, to ensure that all patient information is correctly entered and processed for billing. • Collects patient co-pays, self pays, and patients balances and process payments via phone calls from patients. • Responsible for maintaining communication with insurance companies on any changes affecting billing for EFM. Maintaining login's for assigned insurance companies. • Working knowledge and training of current EFM computer systems used to complete billing. • Ensures all accounts receivable processes are fulfilled. • Ensures all returned mail is researched and documented in the appropriate section of the patient’s account. • Ensures that all payment arrangements are documented and set up properly and maintained within the patient’s account. • Ensures that all accounts are turned to outside collections in a timely manner and develop relations with the outside agency. • Ensures on a daily basis to promote an environment filled with teamwork, a positive outlook and constant professionalism.
Qualifications and Skills: • High School Diploma or equivalent • At least one (1) year of collections/AR experience. • Communication, interpersonal, clerical, and organizational skills necessary to complete job duties. • Ability to handle the confidential aspects of the work. • The ability to type at least 40wpm and activate and operate computers and office equipment.
Physical requirements: • Prolonged periods sitting at a desk and working on a computer. • The employee is frequently required to walk; use hands and fingers, handle, or feel; and reach forward with hands and arms. • The employee is occasionally required to sit and stoop, kneel, or crouch. • Must be able to lift up to 35 pounds at times.
Our culture and values are every employee’s responsibility: The needs of our patient come first S.P.I.R.I.T
• Stewardship • Patient & Population Focused Health Care • Integrity • Respect • Innovation • Teamwork
Benefits: • Health, Dental, Vision benefits • Life Insurance • 401k with a company match up to 6% • Paid Time Off