Collections Float- Business Services Collections, PRN, Varies
North Mississippi Medical Center
Tupelo, MS
Full-time
Accounting
Posted on December 11, 2021
- All functions are for NMMC-Tupelo, Pontotoc Health Services, Marion Regional Medical Center, Tishomingo Health Services, Clay County Medical Center and Webster Health Services.
- Must have high school diploma (prefer College Associates degree) or equivalent. Good knowledge of NMMC AR systems (PFM, SSI Billing and Document Imaging).
- Must have working knowledge of 3rd party insurance agreements and payment methodologies.
- Must have knowledge of various billing forms and how these are used in the Collections Dept.
- Must have excellent computer skills. Must have an attitude that promotes a positive work environment.
- Must be organized.
- Must be a self-starter and committed to the job.
- Incumbent must have working knowledge of PFM, Internet Explorer and Excel.
- Receive e-mails regarding Clinical Trial accounts, review accounts for accuracy of charges and responsible party. Move charges due from Clinical Trial to Clinical Trial account. Send information regarding charges to bill to insurance to Billing clerk. Send claim for payment to appropriate Clinical Trial administrator. Review and work monthly report of Bariatric and Clinical Trial accounts for payment. Receive and verify accuracy of payment and forward to Cashier for posting. Maintain spreadsheet of Clinical Trial patients containing billing information and payment received.
- Send requests for approval for new Clinical Trials to Medicare Part A. Once approval is received notify appropriate Clinical Trial Department. Maintain request and copy of approval for all Clinical Trials.
- Receive e-mails regarding Bariatric Center accounts. Review accounts for accuracy of responsible party and payment. Make guarantor or carrier changes to resolve balance of account. Contact TSF prior to transfer to them of Bariatric Center accounts.
- Receive correspondence and calls from Attorneys requiring information on patient accounts. Send requested information and request for payment for copies to Attorney offices. Maintain spreadsheet of invoices and item bills sent. Receive settlement requests, forward to Business Services Director for approval with any additional needed information. Send letter to Attorney with settlement offer. Apply adjustment for settlement after payment received.
- Review accounts on Work List in Corporate Financial class to bill to responsible party and to review for financial class change. Followup to review for payment.
- Review and allocate payments and adjustments on PFM Unallocated Report.
- Backup Conflict Management Clerk to review accounts with date of service conflicts based on insurance requirements. Also, backup to Conflict Management Clerk keying adjustments and charges in PFM.
- Backup to Correspondence Clerk for reviewing and totaling Posting batches in SSI EOB SCAN and POST for accuracy.
- Verify refund checks against batch printout for accuracy and mail to appropriate customer or vendor. Log batches to spreadsheet and file hard copies for refund checks.
- Backup for PFM Coordinator on working auto-emails for no crosswalk match.
- Backup for ordering of supplies for Collections Department.
- Backup for SSI Billing system translation and billing to insurance.
- Must have high school diploma (prefer College Associates degree) or equivalent.
- Good knowledge of NMMC AR systems (PFM, SSI Billing and Document Imaging).
- Must have working knowledge of 3rd party insurance agreements and payment methodologies.
- Must have knowledge of various billing forms and how these are used in the Collections Dept.
- Must have excellent computer skills.
- Must have an attitude that promotes a positive work environment.
- Must be organized.
- Must be a self-starter and committed to the job.
- Incumbent must have working knowledge of PFM, Internet Explorer and Excel.