New

Collection Specialist

SIU Medicine
$16.50 - $18.15 Hourly
medical insurance, dental insurance, life insurance, paid time off, paid holidays, sick time, extended sick time, tuition reimbursement, 403(b), retirement plan
United States, Illinois, Springfield
May 16, 2025
Description The purpose of this position is to ensure that SIU Healthcare is reimbursed for all professional services rendered, through established credit policies and procedures and the implementation of accounts receivable maintenance cycles #IND1 Examples of Duties 80% Customer Service Duties: Reviews patient accounts to help resolve patient complaints and disputes. Handles allreturnedcorrespondencewithpatient due to address issues. Respondstoinquiries with insurance, coding, credentialing, and various department teams. Sends itemized statements to patient and attorneys upon request Works on various reports assigned by management (deceased, bad debt, bad address, etc.).Respondstopatient inquiries received via phone, email, mail, or fax. Reviews creditbalancesonaccountsandinitiatestheappropriatecourse ofaction. Work Electronic Task Management (ETM) tasks related to patient balances to determine next steps need to resolve (phone call, adjustment, insurance and/registration issue, etc.) Route any inquiries or disputes to the appropriate areas to be handled via ETM. Follows up on patient disputes in a timely manner to help resolve accounts. Review Explanation of Benefits (EOB) from insurance companies to help verify account balance and resolve issues for patients. Reviews account to verify that appropriate billing procedures have been followed.If not, the incumbent followstheappropriate courseofactionrequiredtoaccurately completethebilling procedure. Reviewspatientaccountsandverifiesthatinsurancebillingisaccurate. Contacts thepatient viatelephone and/or via correspondence to help resolve the outstanding balance on the account (payment, payment arrangement, or financial assistance) Verifies patient's demographic andinsurance coverage as obtained during routine performance of duties and updates, if necessary. SendsFinancialAssistanceapplications toguarantorsas requested. Processescreditcardpayments. Understand and upholds HIPAA policies and procedures Make outbound calls to and take inbound calls to assist patients whom have questions regarding their accounts. Maintain proficiency with insurance and billing issues by participating in Customer Service meetings and training sessions as appropriate. Provide excellent customer service and adhere to SIU Behavioral service standards. Assists with staff training Assist with answering questions from other Collection series levels Handles Escalated patient phone calls/ETM's 15% Reception Area Coverage: Handles all patients who report onsite to need assistance with account inquiries or disputes. Takes payments from patients. Scan incoming correspondence received via mail, fax, or email. Works the NCOA (Needs Change of Address) report from statement vendor. Takes any incoming calls from the switchboard and either answers inquiry or transfers to the appropriate areas. 5% Other duties as assigned. Qualifications Any one or any combination of the following, totaling one (1) year (12 months), from the categories below: college course work that included courses in finance, accounting, business administration, or business management, or a closely related field: 30 semester hours equals one (1) year (12 months) Associate's Degree (60 semester hours) equals eighteen months (18 months) 90 semester hours equals two (2) years (24 months) Bachelor's degree (120 semester hours) equals three (3) years (36 months) collection, consumer credit, or business experience that required knowledge of collection methods and procedures One (1) year (12 months) of collection experience comparable to Collection Representative level or in other positions of comparable responsibility Supplemental Information If you require assistance, please contact the Office of Human Resources at hrrecruitment@siumed.edu or call 217-545-0223 Monday through Friday, 8:00am-4:30pm. *The mission of Southern Illinois University School of Medicine is to optimize the health of the people of central and southern Illinois through education,* *patient care,* *research and service to the community.* The SIU School of Medicine Annual Security Report is available online at https://www.siumed.edu/police-security. This report contains policy statements and crime statistics for Southern Illinois University School of Medicine in Springfield, IL. This report is published in compliance with Federal Law titled the "Jeanne Clery Disclosure of Campus Security Policy and Crime Statistics Act." Southern Illinois University School of Medicine is an Affirmative Action/Equal Opportunity employer who provides equal employment and educational opportunities for all qualified persons without regard to race, color, religion, sex, national origin, age, disability, sexual orientation, protected veteran status or marital status in accordance with local, state and federal law. Pre-employment background screenings required.