Outsource Liaison

Job Title

Acting under the supervision of the Credit & Collection Manager, acts as a liaison between MMC and the extended business office(s) for the collection of patient responsibility account balances. Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values.

Salary

USD $17.14 / Hr. to USD $26.56 / Hr.

Qualifications

Education :

High school diploma or equivalent required, Associates degree preferred.

Licensure / Certification / Registry :

Experience :

One year of business office experience is required.

Previous experience / knowledge of medical collections, accounts receivable, medical billing, and insurance principles / practices is highly desirable.

Other Knowledge / Skills / Abilities :

Must possess basic computer and associated software knowledge, with the ability to enter, retrieve, and electronically notate system screens.

Must possess highly developed detail orientation, critical thinking, and problem solving ability.

Must demonstrate excellent oral and written communication, customer relations, and listening skills needed to work successfully and professionally with internal customers and external contacts.

Must demonstrate the ability to persuade and negotiate effectively.

Responsibilities

Ensure EBO compliance with all state and federal regulations MMC policies regarding customer service, accurate system notation, appropriate collection and bad debt referral processes, and patient qualification for financial assistance toward resolution of accounts. Identify and recall accounts outside established parameters.

Identify potential liability and make referrals to Risk Management Department as appropriate.

Reconcile all geographic information, documentation of collection efforts / account status, and financial information, within hospital based billing system and Extended Business Office (EBO) collections system.

Identify / add payer information, schedule payer bills for all insurance payers (with the exception of government claims), resolve account liability, and determine correct insurance allowances, discounts, and other adjustments for referral to Cash and Contractual Posting (CCP).

Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values :

SAFETY : Prevent Harm - I put safety first in everything I do. I take action to ensure the safety of others.

COURTESY : Serve Others - I treat others with dignity and respect. I project a professional image and positive attitude.

QUALITY : Improve Outcomes - I continually advance my knowledge, skills and performance. I work with others to achieve superior results.

EFFICIENCY : Reduce Waste - I use time and resources wisely. I prevent defects and delays.

Investigate / resolve disputes regarding missing and / or misapplied payments processed by EBO.

Review and reconcile all EBO reports with hospital system, ensuring appropriate and timely return of accounts.

Investigate and resolve patient concerns / disputes. Demonstrate professional behavior and good judgment during negotiation / mediation of disputes between MMC and EBOs.

Obtain itemized bills and medical records as necessary to resolve account issues. Refer problematic accounts to staff, manager, or other resources as appropriate to ensure timely and appropriate resolution and return of accounts.

Determine appropriate hospital based staff, as necessary, for payment plans outside established EBO guidelines.

Other duties as assigned.