Senior Commercial Collector - hybrid - Katy, TX

This is a hybrid position.  Location: Houston Methodist Continuing Care - 701 S Fry Rd, Katy TX

Searching for candidates with the following:

• Experience with Government Advantage Payers
• Centers for Medicare/Medicaid Services
• Experience with high dollar hospital accounts
• Five years of experience in commercial insurance follow-up, preferably in hospital accounts receivable

At Houston Methodist, the Senior Commercial Collector position is responsible for ensuring that the organization's financial viability is protected at the most basic level by securing accurate and timely payments, working assigned higher dollar accounts, major/complicated payors, or large inventory work queues as directed. This position performs ongoing monitoring of assigned accounts to ensure maximization of collection dollars by providing appropriate follow-up and documenting actions taken. This position has direct contact with other Houston Methodist departments and insurance companies and takes a more participatory role in meetings and negotiations with Insurance Provider Relation and collaborations with third party vendors. The Senior Commercial Collector must demonstrate strong interpersonal and persuasive abilities in order to promote teamwork and cooperation as well as secure accurate and timely payment from third party payors. Other duties include serving as a resource, trainer, and mentor to other team members.

PEOPLE ESSENTIAL FUNCTIONS

• Promotes a positive work environment and contributes to a dynamic team focused work unit that actively helps one another to achieve optimal department and organizational results

• Strikes a balance between maintaining trustful relationships and ensuring timely payments. Exhibits professionalism and trustworthiness

• Serves as a resource and trainer for less experienced and new staff; orients, guides and mentors team members to help build confidence and competency in skills, knowledge and abilities

SERVICE ESSENTIAL FUNCTIONS

• Reviews incoming correspondence and takes appropriate action. Responds promptly to payor's request for additional information/documentation. Confers with Billers, as necessary, to obtain additional information/clarification

• Takes a more participatory role in meetings and negotiations with Insurance Provider Relation and collaborations with third party vendors and projects

• Informs manager of payer trends or any problems or changes in payor requirements, including any barriers or obstacles

QUALITY/SAFETY ESSENTIAL FUNCTIONS

• Obtains corrected information and requests rebills as needed

• Provides clear and concise documentation of every action taken on an account in the system collection notes. Provides balance breakdown to document the status of next responsible party (i.e., primary, secondary payor, patient balance, or credit balance)

• Effectively manages inventory in accordance with departmental standards. Identifies accounts for advanced due diligence steps or legal placement

• Meets or exceeds stated Performance Indicator Expectations (e.g., productivity, account reviews, agings) as demonstrated on weekly Key Performance Indicator

FINANCE ESSENTIAL FUNCTIONS

• Follows up on assigned delinquent insurance claims. Ensures maximization of collection dollars from insurance companies in accordance with the respective contract and/or Houston Methodist financial arrangement. Works assigned higher dollar accounts, major/ complicated payors, or large inventory work queues as directed

• Analyzes accounts for errors, adjustments and credits, issuing corrected entries when necessary. Updates account information accordingly. Follows levels of authority for posting adjustments, refunds, and contractual allowances

• Uses resources effectively and efficiently. Organizes time effectively, minimizing incidental overtime, and sets priorities. Utilizes time between heavy workloads efficiently and helps other team members

GROWTH/INNOVATION ESSENTIAL FUNCTIONS

• Stays current on collection procedures of various payors and industry trends. Seeks opportunities to expand learning beyond baseline competencies with a focus on continual development

• Generates and communicates new ideas and suggestions that will improve quality or service. Demonstrates adaptability and flexibility in the face of changing demands

This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises.

EDUCATION

• High School diploma or equivalent education (examples include: GED, verification of homeschool equivalency, partial or full completion of post-secondary education, etc.)

WORK EXPERIENCE

• Five years of experience in commercial insurance follow-up, preferably in hospital accounts receivable