Rep., Pre-legal Coll.
Partners HealthCare System (Boston, Massachusetts)

This job posting has expired.

You may wish to try a search for REP., PRE-LEGAL COLL.

Or visit the FlipDog home page
 

Description: Under the direction of the Pre-Legal Collections Manager, The Prelegal Collections Officer, contacts patients and other responsible parties to collect on outstanding patient medical bills. The Pre-Legal Collections Officer is responsible for the timely review, collection and final resolution of assigned accounts via the CT Vision pool splits. The majority of the accounts worked are on the active A/R. This includes Domestic and International self-pay accounts with a few Bad debt and other Legal related matters.



Contacts, via telephone and letters, patients or other third party Self-Pay accounts(>$2,000.00) that go through PHS (billing system) normal collection dunning cycle. These procedures or process is in full Compliance with the HIPAA guidelines and consistent with the PHS Collections Policy and Procedures.



Interacts with other internal staff, and departments such as, the International Patient Center, and Admitting Office, for BWH and MGH; And follows up where appropriate, in an attempt to reach patient account resolution primarily on International accounts. Also assists in supplying financial assistance applications and information to Domestic patients when requested for possible free care consideration.



Contacts other appropriate parties (i.e. Attorneys as needed) on litigation-related accounts, (i.e. Motor Vehicle Accidents, Industrial Accidents, Bankruptcy cases, and Deceased account); Takes necessary steps to obtain needed information to bring about positive account resolution. Works with all parties involved (i.e. internal Legal Department and external Agencies) to secure hospital reimbursement. Also relays any new information to assist in filing liens to protect the hospital's financial interest in said accounts.



Researches and pulls appropriate documentation such as Remittance Advice (EOB) to confirm third party payments and patient liability. Using the various tools (i.e. Sovera, Nehen Express) to check on eligibility and gathers new demographic information. Initiates problem solving techniques for the more difficult accounts and follows through to resolution. Provides daily updates in various in-house computer systems with collection activity.



Prepares and submits the Prelegal Collections monthly spreadsheet on a timely basis. Compares the spreadsheet data with the computer reports generated by the Prelegal Collections Supervisor/Coordinator to insure that the data (i.e. payments, attorney referrals, and free care adjustments) is correct and complete. Works both individually and as part of the team to ensure that new information is shared and techniques applied.





Performs other duties, tasks, and or projects as assigned by the Prelegal Collections Manager. Qualifications: The candidate should have some combination, if not all, of the three items listed below.

1. Minimum 3 - 5 years experience in (Hospital or Doctors Office) medical billing or health insurance is preferred.

2. Minimum 3 years of medical collections experience preferred, or 3-5 years overall collections experience.

3. Associates or Bachelors degree in accounting/ business, health or legal field is preferred.





The candidate should possess a skill set that has a minimum of two (1each) of the items combined from the two categories below.

Computer Skills

1. Working knowledge of PC applications, specifically MS Office applications, Excel, Outlook, Word (3 years experience)

2. Working knowledge of Hospital or Medical billing computer applications or systems. (3 years experience)



Communication/Problem Solving Skills

1. Exhibits strong communications skills; needed when speaking with patients and interacting in this professional environment

2. Good problem solving skills; demonstrated ability to solve complex patient accounts billing issues or similar collections problems. Salary/Benefits: Salary commensurate with experience Partners HealthCare offers a comprehensive benefits package, including a choice of six medical plans, two dental plans, prescription drug and vision coverage, generous Paid Time Off, disability coverage, retirement plans, flexible spending accounts, and tuition reimbursement. Job Location: Boston, MA Job Number: 1454 Company URL: http://www.partners.org Company Profile: Founded by Brigham and Women's Hospital and Massachusetts General Hospital, Partners HealthCare is a network of integrated hospitals and physicians providing cutting-edge patient care, teaching, and research. Over 3,000 professionals work behind the scenes to help keep Partners at the forefront of medicine, including those in Information Systems, Finance, Human Resources, Development, Real Estate, Legal Counsel, Business Planning, and other administrative capacities. Enjoy the benefits of a strong, stable organization; the largest health system in New England and the largest non-government employer in Massachusetts.

Partners Healthcare System is an Equal Opportunity Employer.