Commercial Collector PRN-Katy

Overview

At Houston Methodist, the Commercial Collector position is responsible for ensuring that the organization's financial viability is protected at the most basic level by securing accurate and timely payments. This position performs ongoing monitoring of assigned accounts to ensure maximization of collection dollars by providing appropriate follow-up and documenting actions taken. This position has direct contact with other Houston Methodist departments and insurance companies and must demonstrate strong interpersonal and persuasive abilities in order to promote teamwork and cooperation as well as secure accurate and timely payment from third party payors.

Houston Methodist Standard

PATIENT AGE GROUP(S) AND POPULATION(S) SERVEDRefer to departmental "Scope of Service" and "Provision of Care" plans, as applicable, for description of primary age groups and populations served by this job for the respective HM entity.

HOUSTON METHODIST EXPERIENCE EXPECTATIONS

• Provide personalized care and service by consistently demonstrating our I CARE values:
  • INTEGRITY: We are honest and ethical in all we say and do.
  • COMPASSION: We embrace the whole person including emotional, ethical, physical, and spiritual needs.
  • ACCOUNTABILITY: We hold ourselves accountable for all our actions.
  • RESPECT: We treat every individual as a person of worth, dignity, and value.
  • EXCELLENCE: We strive to be the best at what we do and a model for others to emulate.

• Practices the Caring and Serving Model

• Delivers personalized service using HM Service Standards

• Provides for exceptional patient/customer experiences by following our Standards of Practice of always using Positive Language (AIDET, Managing Up, Key Words)

• Intentionally collaborates with other healthcare professionals involved in patients/customers or employees' experiential journeys to ensure strong communication, ease of access to information, and a seamless experience

• Involves patients (customers) in shift/handoff reports by enabling their participation in their plan of care as applicable to the given job

• Actively supports the organization's vision, fulfills the mission and abides by the I CARE values

Responsibilities

PEOPLE ESSENTIAL FUNCTIONS

• Promotes a positive work environment and contributes to a dynamic team focused work unit that actively helps one another to achieve optimal department and organizational results.

• Strikes a balance between maintaining trustful relationships and ensuring timely payments. Exhibits professionalism and trustworthiness.

SERVICE ESSENTIAL FUNCTIONS

• Reviews incoming correspondence and takes appropriate action. Responds promptly to payor's request for additional information/documentation. Confers with Billers, as necessary, to obtain additional information/clarification.

• Informs manager of payer trends or any problems or changes in payor requirements, including any barriers or obstacles.

QUALITY/SAFETY ESSENTIAL FUNCTIONS

• Obtains corrected information and requests rebills as needed.

• Provides clear and concise documentation of every action taken on an account in the system collection notes. Provides balance breakdown to document the status of next responsible party (i.e., primary, secondary payor, patient balance, or credit balance).

• Effectively manages inventory in accordance with departmental standards. Identifies accounts for advanced due diligence steps or legal placement.

• Meets or exceeds stated Performance Indicator Expectations (e.g., productivity, account reviews, aging) as demonstrated on weekly Key Performance Indicator.

FINANCE ESSENTIAL FUNCTIONS

• Follows up on assigned delinquent insurance claims. Ensures maximization of collection dollars from insurance companies in accordance with the respective contract and/or Houston Methodist financial arrangement.

• Analyzes accounts for errors, adjustments and credits, issuing corrected entries when necessary. Updates account information accordingly. Follows levels of authority for posting adjustments, refunds, and contractual allowances.

• Uses resources effectively and efficiently. Organizes time effectively, minimizing incidental overtime, and sets priorities. Utilizes time between heavy workloads efficiently and helps other team members.

GROWTH/INNOVATION ESSENTIAL FUNCTIONS

• Stays current on collection procedures of various payors and industry trends. Seeks opportunities to expand learning beyond baseline competencies with a focus on continual development.

• Generates and communicate