Self Pay Collector 1

he Self Pay Collector 1 manages the accounts receivable for both hospital and professional accounts in accordance with compliance, regulatory and billing guidelines and specific payer rules. Maintains accurate and confidential records in compliance with HIPAA and organizational policies. Responsible for collection of outstanding receivables. Meets daily productivity and quality expectations and participates openly in departmental audit/review processes to ensure that all work is monitored and completed based on departmental standards. Responsible for making outbound calls to patients, communicating the self-pay billing process, setting up payment arrangements, validating insurance coverage and attaching insurance to claims. In addition, answers, documents, and completes inquiries from patients. Delivers exceptional customer service while guiding patients through their financial responsibilities.

Education: High School Diploma or G.E.D

Work Experience: Healthcare

• Contact patients via phone, email, or mail to collect outstanding balances.
• Works account work queues to perform collection activities, investigate balances, request money be moved, ensure statement delivery and send inquiries on outstanding self-pay receivables.
• Initiate and follow up on patient contact via phone, email, and written correspondence to resolve outstanding balances. Resolves patient underpayments, no payments, overpayments and undistributed payments for proper allocation.
• Set up and monitor payment plans in accordance with established guidelines.
• Provides financial counseling and assistance with the Carle Financial Assistance program and other discount opportunities with patients when applicable.
• Identifies and resolves billing and insurance errors to facilitate accurate and timely billing.
• Maintain confidentiality and comply with HIPAA regulations.
• Provide excellent customer service, with the ability to handle sensitive financial conversations with empathy and professionalism.
• Recommend an adjustment when applicable or recommend a refund for overpayments to insurance carriers or patients, providing the appropriate documentation.
• Identify problem accounts and escalate as appropriate. Inform patients explicitly of their obligation to pay for services and notate accounts accurately.
• Accurately updates demographic, insurance, and billing information for patients.
• Identifies and reports account corrections needed for guarantor number changes (GNC's) double registrations, and other account build issues in the practice management system. Responsible for meeting and exceeding departmental productivity quality assurance standards.
• Performs other duties as assigned.

Find it here.

Discover the job, the career, the purpose you were meant for. At Carle Health, we're committed to fostering a workplace where every team member feels valued, respected and empowered, where passion and purpose come together to positively impact the lives of our patients and our communities. Find it all at Carle Health.

Our more than 17,000 team members and providers work together to support patient care across central and southeastern Illinois. We've grown to include seven, award-winning hospitals across eight hospital campuses and a multispecialty provider group with more than 1,500 doctors and advanced practice providers. We're developing the next generation of providers and healthcare professionals through Carle Illinois College of Medicine, the world's first engineering-based medical school, and Methodist College. Carle Foundation Hospital, Carle Physicians Group, Carle Hoopeston Regional Health Center, Carle BroMenn Medical Center including Carle Eureka Hospital and associated Carle Health Medical Group clinics all hold Magnet with Distinction designation, the nation's highest honor for nursing care granted by the American Nurses Credentialing Center (ANCC). Carle Health Methodist Hospital, Carle Health Proctor Hospital and Carle Health Pekin Hospital all hold the exclusive Magnet designation.

We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: human.resources@carle.com.