1+ months

Credit - Collections Clerk II

Medtronic
Northridge, CA 91325
Credit - Collections Clerk II

Location:

Northridge, California, United States

Requisition #:

20000GQ7

Post Date:

Mar 24, 2021


**POSITION DESCRIPTION**


As
a key member of the Patient Financial Services (PFS) customer care team, responsible
for all aspects of billing, credit and collection activities, including
customer service with an objective of maximizing cash flow and keeping DSO to a
minimum.


_Following prescribed proceduresand desk guidelines, performs a variety of collection tasks relating to generalhealthcare guidelines to collect amounts owed for pump and/or supply orders.Verifies accuracy of statements (patient and payor related), as well as, other healthcarefinancial accounting documentation or records. Enters data into computersystems using defined computer resources and programs. Compiles data andprepares a variety of reports. May reconcile records with PFS team members andleaders; communicates with external vendors and customers (including representativesof health plans/payors.) Recommends actions to resolve discrepancies;investigates questionable data._


**_POSITION RESPONSIBILITIES:_**


Executes
on established departmental objectives and assignments which affect the
immediate operation, but that also have full revenue cycle and ultimately
company-wide financial impact.


Initiates
follow-up activities with third-party payors regarding open claim balances;
makes written and verbal inquiries to payors. Analyzes and problem solves
account issues to full resolution.


Reconcile
claims/accounts to complete resolution, performing adjustment requests and
updating patient accounts/claims online, utilizing appropriate transactions and
consistently formatted notes that support future collection efforts and
inquiries at both the insurance and customer (ie. selfpay) levels.


Provides
support for inquires from internal and external customers regarding account/claim
status.Maintains updated information on
patient accounts.


Handles
internal and external customer inquiries regarding account status and account
history.


Performs
eligibility verifications on patient accounts as new insurance plans/carriers
are identified; updates information on expired insurance plans/carriers.


Researches
issues off-line as needed with payor/patient; conducts follow-up calls with
customers, initiating conference calls between insurance carrier and patients
to resolve customer concerns.


Researches
and initiates refund requests due to overpayments by payor and/or patient.


Determines
when claims/accounts are deemed uncollectable; recommends and initiates bad
debt write-offs procedures.


Meets
or exceeds key performance indicators measuring productivity, quality, and
service level as defined by Senior Management.


Actively
participates in team initiatives and in team status meetings.


Additional
team activities, projects, and work flow as assigned.


Service
Excellence:


oWorks to identify ways to and initiate
processes that work towards enhanced credit and collections, and improving
service levels to both internal and external customers.


oActively participates in process and
service improvement activities.


oEncourages and supports staff members in
the pursuit of service excellence.


**Must Have: Minimum Requirements**


**(Basic skills and experiences necessary to perform the job: must be relevant, objective, and non-comparative)**


High School Diploma or GED


Minimum of 2 years billing/collections experience in a medical group, health care company, or hospital setting.


Experience with various insurance plans offered by both government and commercial insurances (i.e. PPO, HMO, EPO, POS, Medicare, Medicaid, HRAs) and coordination of healthcare benefits, including requirements for referral, authorization and pre-determination.


Experience with reading and understanding the information provided on EOBs, remittance advices, and other insurance correspondence, and in calculating patient responsibility taking into consideration coverage and benefits, including referral, authorization, and/or pre-determination requirements, and contract terms.


Experience with medical billing and collections terminology CPT, HCPCS, and ICD-9 coding.


Experience with HIPAA guidelines and healthcare compliance.


Experience with MS Office suite (Word, Excel, Outlook), and internet and web site navigation.


Experience with reviewing and analyzing insurance payments, and/or payor adjudication of claims against contract terms and patient coverage and benefits.


**Nice to Have**


**(Skills and experiences beyond Basic Qualific** **ations that help identify the best possible applicant)**


Good customer service skills with ability to interact with both internal and external customers, i.e. patients, insurance payors, doctors, internal departments and handle in a professional manner with customer-friendly focus and attention to detail in resolving issues.


Proficiency in navigating multiple screens and programs at the same time in order to facilitate problem solving, and other activities that require multi-tasking.


**** **Ability to maintain composure, and to follow instructions and protocols when dealing with unfamiliar or unusual payor / customer issues.**


**** **Demonstrated ability to present information in a clear, concise, and grammatically correct manner both verbally and in writing.**


Demonstrated collaboration skills (including active listening skills, presentation skills) and proven ability to work effectively in a diverse, inclusive organization and environment.


Demonstrated ability to accept and carry out oral and written instructions accurately.


Demonstrated ability to prioritize work, handling daily and multiple tasks to completion within the time allotted, while working as part of a team within a demanding environment.


Ability to prepare forms, spreadsheets, and graphs.


Experience in a payor or medical provider community that deal with all aspects of the revenue cycle.


Experience in a large corporate (even matrixed) environment


Previous work experience with GE Centricity


**About Medtronic**


Together, we can change healthcare worldwide. At Medtronic, we push the limits of what technology, therapies and services can do to help alleviate pain, restore health and extend life. We challenge ourselves and each other to make tomorrow better than yesterday. It is what makes this an exciting and rewarding place to be.


We want to accelerate and advance our ability to create meaningful innovations - but we will only succeed with the right people on our team. Lets work together to address universal healthcare needs and improve patients lives. Help us shape the future.


**Physical Job Requirements**


The physical demands described within the Responsibilities section of this job description are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.


While performing the duties of this job, the employee is regularly required to be independently mobile. The employee is also required to interact with a computer, and communicate with peers and co-workers.


While performing the duties of this job, the employee is regularly required to talk or hear, frequently required to sit and reach with hands and arms, and regularly required to stand; walk and use hands to finger, handle, or feel.


Ability to sit, wear a headset, and work on the computer for extended periods of time.

Ability to lift 5 lb. ream of paper.


Ability to work overtime as needed.
It is the policy of Medtronic to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Medtronic will provide reasonable accommodations for qualified individuals with disabilities.

Categories

Posted: 2021-03-02 Expires: 2021-06-03

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Credit - Collections Clerk II

Medtronic
Northridge, CA 91325

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