PBS Collector

Monitors patient and insurance accounts receivables, in order to achieve and maintain department aging guidelines. Makes pro-active attempts, using various communication tools, to contact collectable accounts within assigned financial classes. Makes members/patients and their needs a primary focus of ones actions; develops and sustains productive member/patient relationships. Actively seeks information to understand member/patient circumstances, problems, expectations, and needs. Builds rapport and cooperative relationship with members/patients. Considers how actions or plans will affect members; responds quickly to meet member/patient needs and resolves problems.

• This position, knows and complies with all Kaiser Permanente quality, safety, and emergency policies and procedures. Demonstrates quality and effectiveness in work habits and clinical practice in every interaction with patients, colleagues, providers, and leadership. Ensures patient safety in the preparation and provisioning of care related to but not limited to medications, procedures, infection prevention, fall prevention, including consistent use of two patient identifiers and procedural time outs. Reports safety hazards, accidents and incidents, and unsafe working conditions promptly.
• Monitors patient and insurance accounts receivables, in order to achieve and maintain department aging guidelines.
• Maintains active knowledge of quarterly changes and updates to payor regulations.
• Works all accounts in assigned Work Queues per department guidelines. Performs adjustments within department guidelines.
• Makes pro-active attempts, using various communication tools, to contact collectable accounts within assigned financial classes.
• Reviews account records, by resolving issues or questions and supplying any needed available documentation in order to secure maximum payment.
• Accurately interprets and works denials, as well as Explanation of Benefits.
• Give detailed explanations of account history, accurately note account activity in appropriate places with systems of record.
• Responsible for reviewing accounts for possible legal action and/or bankruptcy notification, and initiating appropriate action.
• Reviews accounts for potential refunds, and initiates paperwork and/or documentation when appropriate.
• Receives and works correspondence within department guidelines.
• Acts as a liaison or department representative regarding billing issues.
• Provides technical and clerical support, when needed.
• Provides training as assigned to new employees as well as cross-training.
• Performs other duties as assigned by management.