Revenue Cycle Specialist-Collector

Since 1976, Florida Community Health Centers, Inc. (FCHC) has been a health care leader in Florida. We provide comprehensive primary and specialty health care and patient support services through a network of Centers surrounding Lake Okeechobee and across Florida’s Treasure Coast. Our mission is to ensure that everyone in our communities has access to culturally competent, high-quality health care that they can afford. FCHC has locations in Clewiston, Moore Haven, Okeechobee, Fort Pierce, Port St. Lucie, Stuart, Indiantown, Pahokee and West Palm Beach. FCHC’s Corporate Office is centrally located in West Palm Beach, Florida. FCHC has multiple staff members who speak Spanish and Creole, and translation is available for other languages as needed. FCHC has created a “one-stop shop” for patients–providing Pediatric and Adult Primary Care, Dental, OB/GYN and Women’s Health, Infectious Disease, Behavioral Health, Pharmacy, chronic disease education and care management, referral assistance, benefit enrollment assistance and coordination, and telehealth services. Our patients benefit from a “medical home” model, where they may access our extensive array of health care clinicians and services in an atmosphere where they are treated with respect, care, and concern.

Mission

The Mission of Florida Community Health Centers, Inc. (FCHC) is to provide accessible, cost-effective, high-quality, comprehensive health care to all persons in our communities.

Vision

Florida Community Health Centers, Inc. (FCHC) will maintain strong leadership in, and advocate for, the provision of health care services.

FCHC will foster and promote collaborative relationships and will develop partnerships with local, state, and federal public health service agencies and the community in general, to enhance the quality of delivery systems for comprehensive health care. FCHC will be an employer of choice and will demonstrate excellence with a highly trained staff and governing board.

Values

FCHC values Integrity, Compassion, Commitment to serving others (external and internal to the organization), Innovation, Effectiveness (cost and outcome), Efficiency, being Mission-driven, Commitment to serving others internal to organization and Commitment to Excellence.

Primary Duties:

• Monthly, pay patient portions of third party pay codes, sliding fee scale (SFS) B-E over 120 days “A” patient balances, over 90 days are either contractually adjusted for “A” patients, small balance write-off (under $20), or bad debt sent to collections. Electronic patient file is sent to the collection agency.
• During review of patient balances, analyze credits and move to appropriate outstanding balances.
• Provide billing information to outside agencies, attorneys, etc. as requested. Ensures the release of information has been completed prior to submitting billing information.
• Process Bankruptcy paperwork and note the account when final discharge is received. A write off is performed for the specific time period. Statements are stopped for the dates filed.
• Monthly, accumulate documentation for accounts to be turned over to the collection agency. Mail and verify that the accounts and amounts turned over balance to the collection agency acknowledgment. Enter collection agency flag and notes in the system.
• Promptly records payments received at collection agency in collection agency listing and in MIS system notes.
• Notify collection agency of monies received for balances in the agency. Record payment amount and date in the collection agency listing, and note payment in system.
• Prepare payroll deductions for employee balances; ensure collection of all outstanding balances for terminating employees
• Summarize returned statements and forward to centers for address correction. Enter “bad address” flag; write off accounts and forward to collection agency.
• Prepare monthly report for patient accounting meeting providing examples of center input errors that cause payment delay.
• Assist in answering patients and employee phone inquiries.
• Ensure patient statements are processed soon after each month is closed.
• Ensure all patient accounting procedures are adhered to maximize collections and revenue.
• Keep current and knowledgeable of all patient accounting policies, procedures and memos issued.
• Ensures all billing and collection steps have been pursued prior to write off.
• Handles difficult patient or third party billing/collection problems and correspondence. Contacts intermediaries/payors to expedite payment.
• Monthly print and mail collection letters (collection letter 1 – all pay patient balances 90 days; collection letter 2 – pay patient balances 120 days) applicable to OB patients.
• Monthly update for discharge letters. Submit copy of final discharge letter to center for placement in medical record. Update notes and member flags.
• Maintain permanent record of accounts in collection
• Assist Patient Accounting Director in evaluating outside collection agencies.
• Works closely with staff to correct diagnosis codes to ensure payments from 3rd party payors

Minimum Qualifications:

• High School Diploma. College or Business School preferred
• Two years’ experience in medical claims processing.
• Good telephone etiquette and organizational skills.
• Be able to handle diversified duties.
• Must be computer literate and have the aptitude to learn new programs as changes occur.

Skills and Abilities:

• Good telephone etiquette and organizational skills.
• Be able to handle diversified duties.
• Knowledge in Microsoft Excel, Word, and PowerPoint preferred.
• Must be computer literate and have the aptitude to learn new programs as changes occur