Collection Agency Representative

**City/State:** White Plains, New York **Department:** Financial Services Patient Accounting\_8 **Work Shift:** Day **Work Days:** MON-FRI **Scheduled Hours:** 8:30 AM-4:30 PM **Hours Per Pay Period:** 75 **Pay Rate/Range:** $27.6106 -$41.4267 For positions that have only a rate listed, the displayed rate is the hiring rate but could be subject to change based on shift differential, experience, education or other relevant factors.   **Title:**    Collection Agency Representative   **Job Code:**    800544 **Department/Location:**     Patient Accounts                              **FLSA Status:**    Non-Exempt **Reports to:**    SBO Manager  Position Summary                                                                                                                                                                                                                                        ======================================================================================================================================================================================================================================================== The collection agency representative is responsible for assuring all vendor return files are worked daily and timely for reconciliation. Responsible for answering incoming telephone calls, responding to patient emails, correspondence, and messages to resolve patient issues and concerns. The representative is responsible for processing patient credits and payments as well as reconciling patient accounts during call downtime. This position is responsible for assisting walk-in patients to resolve patient account issues and concerns. Performs other duties as assigned. **Essential Functions and Responsibilities Includes the Following:** < >Understands and adheres to the WPH Performance Standards, Policies and BehaviorsResponsible to assure workqueue’s are worked daily and timely assuring proper reconciliation of all vendor return filesReport up to management any issues related to vendor return filesAssure appropriate actions taken on accounts based on the return file from vendor.Responsible for answering incoming telephone calls and responding to resolve call in the shortest amount of time possibleResponsible for assisting walk-in patients with financial assistance concerns and issuesResponsible for sending inquiries to patients regarding inaccurate or incomplete informationResponsible for responding to patient emails, voicemails, and correspondence and resolving issues as necessaryResponsible to escalate to management issues as identifiedCompletes charge adjustments and allowances entries on accounts as neededRecodes accounts by insurance carrier and plan number and enters in the Health Information System (HIS) for billing or rebilling purposesResponsible for review and reconciliation of patient overpaymentsResponsible for processing patient payments and researching discrepanciesReviews all accounts listed on the pre-collection trial balance report to determine if the account should be referred to an outside collection agencyRecord and reconcile acknowledgement of accounts forwarded to early out vendors and collection agenciesReview payments and prepare appropriate paperwork for commission payments to agencies on a monthly basisPrepare all certified bills as requestedProcess inpatient and outpatient discontinuation notifications received from agenciesPrepare and code accounts for agency referralReviews all mail correspondence related to agencies and responds accordinglyWorks and reviews agency reconciliationsResponsible for processing and reviewing financial assistance applications timely and in accordance with our policiesResponsible to communicate with patients’ status of financial assistance applications and update account information as appropriatePerforms all other related duties as assigned  Education & Experience Requirements                                                                                                                                                                              ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Minimum Education: High School Diploma or GED required. Minimum Experience: < >Minimum of one to two years’ experience within a hospital settingKnowledge of third-party billing and reimbursementFamiliarity with electronic medical record systems, EPIC preferred.Fluent in English speaking and writingFluent in Spanish preferredEffective 12/1/2022 the HBI (Healthcare Business Insights) one time certification course is required and must be completed during the onboarding period and prior to start date.   Core Competencies                                                                                                                                                                              ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- < >Ability to cooperate with others.Must be able to speak, write understand and communicate the English language.Effectively communicate with internal and external customers.Integrity to handle the confidential aspects of work.Retains composure under stress.   Physical/Mental Demands/Requirements & Work Environment                                                                                                                                                                              ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- < >May be exposed to chemicals necessary to perform required tasks. Any hazardous chemicals the employee may be exposed to are listed in the hospital’s SDS (Safety Data Sheet) data base and may be accessed through the hospital’s Intranet site (Employee Tools/SDS Access). A copy of the SDS data base can also be found at the hospital switchboard, saved on a disc.Must be able to remain in stationary position 50% of the time.The person in this position needs to occasionally move about inside the office to access file cabinets, office machinery, etc.The person in this position frequently communicates with patients who have questions, must be able to exchange accurate information in these situations.Must be able to detect and greet patients arriving.   Primary Population Served                                                                                                                                                                              ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Check appropriate box(s) below: * Neonatal (birth – 28 days) * Patients with exceptional communication needs * Infant (29 days – less than 1 year) * Patients with developmental delays * Pediatric (1 – 12 years) * Patients at end of life * Adolescent (13 – 17 years) * Patients under isolation precautions * Adult (18 – 64 years) * Patients with cultural needs * Geriatric (> 65 years) ☒All populations * Bariatric Patients with weight related comorbidities * Non-patient care population **_The responsibilities and tasks outlined in this job description are not exhaustive and may change as determined by the needs of White Plains Hospital._**   White Plains Hospital Medical Center is an equal employment opportunity employer. White Plains Hospital Medical Center will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law.