HCA, Hospital Corporation of America Private Pay Collector, Urgent Care in Coppell, Texas


To resolve claims on the private pay aging by contacting the patients and insurance companies. Work to minimize the private pay aging by notifying appropriate parties regarding delinquent accounts and initiates action for payment. Initiates letters and makes recommendations for uncollectable accounts referred to the collection agency.

PRINCIPAL RESPONSIBLITIES: * Collect on past due claims reported on aging’s by calling insurance companies and patients

  • Resubmit HCFA 1500 claims as required by the insurance companies

  • Minimize the “over 90 day” claims on the private pay aging

  • Answer statement calls and assist patients to resolve balance owed

  • Assist patient representatives at the clinic with account alerts

  • Call patients at home and work to request payments due

  • Make recommendations to the supervisor for unresolved accounts to be sent to a collection agency

  • Make recommendations for Write-offs/Collections

  • Process credit card payment on-line

  • Document detailed but concise notes in practice management system on every claim.

  • Work a minimum of 90 to 100 or more claims on a daily basis

  • Initiates feedback to supervisor for noticeable trends on collections

  • Responsible to ensure insurance instruction sheets have updated information

  • Work in unison with the billing analyst, clinic personnel, and managed care collectors

  • Provides feedback to supervisor and AR Director for ideas/feedback received regarding plan specific copays, coinsurance, deductible, etc

KNOWLEDGE, SKILLS, ABILITIES REQUIRED: * High School Diploma or equivalent

  • Minimum of 3 years work experience in medical delinquent collections

  • Understanding of managed care terminology and practices, experience with PPO and HMO networks and payers that are associated with these networks.

  • Strong understanding of managed care contracts, CPT, ICD 9-CM/ICD-10-CM, and HCPCS codes

  • Strong understanding of specific plan benefits for urgent care

  • Understanding of insurance websites and utilizing them

  • Knowledge of Fair Debt Collection Practice Act and applies to all accounts

  • Great communication and telephone skills

  • Strong sense of urgency to resolve a high volume of accounts per day

  • Proficient in the use of the computer and practice management system

  • Solid research and problem solving skills

  • Operate basic office equipment (phones, faxes, copier)

  • Professional image and excellent customer service skills.

  • Strong sense of urgency in a fast paced environment

  • Practice and adhere to the company Mission Statement and Excellence Strategy

  • Work professionally, effectively, and efficiently in a team environment with patients, leadership, clinical staff, and HO employees

Title: Private Pay Collector, Urgent Care

Location: Texas-Coppell-CareNow - Primary Health Inc

Requisition ID: 24900-52010