Patient Collections Specialist

2 days ago

Houston, Texas, United States Vital Care Infusion Services Full time
Job Summary:
As a Patient Collections Specialist at Vital Care Infusion Services, you will play a crucial role in working with our franchise partners to collect outstanding patient accounts receivable. Your goal will be to ensure optimum productivity and recovery of dollars due while demonstrating effective cooperation and communication with patients, franchisees, peers, and leadership.

Duties/Responsibilities:

  • Conduct thorough research to determine the correct self-pay balance(s) for patients.
  • Review benefits verification forms and applicable admission agreements to determine patient financial responsibilities.
  • Collaborate with locations to obtain additional information, such as phone numbers, address corrections, and patient identifiers.
  • Review monthly patient statement reports to identify follow-up priorities.
  • Process patient payments and set up payment arrangements within established parameters.
  • Identify accounts for recommendations of write-offs and/or further options to collect.
  • Maintain an up-to-date understanding of payment options, including payment plans, recurring credit card payments, or checking account auto-draft processes.
  • Assist patients with enrollment in patient assistance programs and applicable foundation support.
  • Review and work on patient unpaid balances daily, using financial reports and all available company-approved resources to collect accounts receivables efficiently and accurately.
  • Communicate clearly with patients, caregivers, franchisees, and all team members regarding patient account balances, self-pay collections, follow-up, payment plans, financial hardship, and related activities.
  • Escalate problem accounts to leadership for review and resolution.
  • Work with Collect Plus and designated teams who administer patient statements to monitor communication, statement accuracy, and quality of this function.
  • Educate patients about their out-of-pocket expenses and provide transparency for patient participation in the financial component of their therapy.
  • Audit financial hardship agreements adhering to applicable policies and procedures.
  • Research and add patient assistance programs, as needed, to maintain PAP reference material. Identify program changes, processor updates, and new-to-market drugs for team use.
  • Perform other related duties as assigned.

Required Skills/Abilities:

  • Ability to resolve financial issues that require research and attention to detail.
  • Excellent communication skills; listening, speaking, understanding, and writing English while influencing patients, caregivers, payer representatives, answering questions, and advancing reimbursement and collection efforts.
  • Proven understanding of processes, systems, and techniques to ensure successful collection working with patients and/or franchise partners.
  • Proven ability to identify gaps and problems from documentation review, determine lasting solutions, make effective decisions, and take necessary corrective action.
  • Proven knowledge and skill in utilizing MS Office suite of software and pharmacy applications.
  • Maintain strict confidentiality and HIPAA compliance.

Education and Experience:

  • High school diploma or equivalent is required.
  • Previous self-pay collections experience, preferably in an infusion or other medical setting.

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