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Medtronic Healthcare Credit and Collections Clerk II (Northridge, CA) in Northridge, California

Healthcare Credit and Collections Clerk II (Northridge, CA)

Location:

Northridge, California, United States

Requisition #:

21000J2B

Post Date:

Jul 21, 2021

Careers that Change Lives

As a key member of the Patient Financial Services (PFS) customer care team, responsible for all aspects of billing, credit and collection activities, including customer service with an objective of maximizing cash flow and keeping DSO to a minimum.

Following prescribed procedures and desk guidelines, performs a variety of collection tasks relating to general healthcare guidelines to collect amounts owed for pump and/or supply orders. Verifies accuracy of statements (patient and payor related) as well as other healthcare financialaccounting documentation or records. Enters data into computer systems using defined computer resources and programs. Compiles data and prepares a variety of reports. May reconcile records with PFS team members and leaders; communicates with external vendors and customers (including representatives of health plans/payors.) Recommends actions to resolve discrepancies; investigates questionable data.

Executes on established departmental objectives and assignments which affect the immediate operation, but that also have full revenue cycle and ultimately company-wide financial impact.

Career growth and development is about learning and stretching yourself to grow your expertise and navigate your career. Medtronic offers award-winning programs to accelerate your development and growth. Our size, scope and market leadership give you the chance to explore career opportunities and grow as we grow.

A Day in the Life

As a key member of the Patient Financial Services (PFS) customer care team, responsible for all aspects of billing, credit and collection activities, including customer service with an objective of maximizing cash flow and keeping DSO to a minimum.

Following prescribed procedures and desk guidelines, performs a variety of collection tasks relating to general healthcare guidelines to collect amounts owed for pump and/or supply orders. Verifies accuracy of statements (patient and payor related) as well as other healthcare financialaccounting documentation or records. Enters data into computer systems using defined computer resources and programs. Compiles data and prepares a variety of reports. May reconcile records with PFS team members and leaders; communicates with external vendors and customers (including representatives of health plans/payors.) Recommends actions to resolve discrepancies; investigates questionable data.

Executes on established departmental objectives and assignments which affect the immediate operation, but that also have full revenue cycle and ultimately company-wide financial impact.

Responsibilities may include the following and other duties may be assigned.

  • Initiates follow-up activities with third-party payors regarding open claim balances; makes written and verbal inquiries to payors. Analyzes and problem solves account issues to full resolution.

  • Reconcile claims/accounts to complete resolution, performing adjustment requests and updating patient accounts/claims online, utilizing appropriate transactions and consistently formatted notes that support future collection efforts and inquiries at both the insurance and customer (ie. selfpay) levels.

  • Provides support for inquires from internal and external customers regarding account/claim status.Maintains updated information on patient accounts.

  • Handles internal and external customer inquiries regarding account status and account history.

  • Performs eligibility verifications on patient accounts as new insurance plans/carriers are identified; updates information on expired insurance plans/carriers.

  • Researches issues off-line as needed with payor/patient; conducts follow-up calls with customers, initiating conference calls between insurance carrier and patients to resolve customer concerns.

  • Researches and initiates refund requests due to overpayments by payor and/or patient.

  • Determines when claims/accounts are deemed uncollectable; recommends and initiates bad debt write-offs procedures.

  • Meets or exceeds key performance indicators measuring productivity, quality, and service level as defined by Senior Management.

  • Actively participates in team initiatives and in team status meetings.

  • Additional team activities, projects, and work flow as assigned.

  • Service Excellence:oWorks to identify ways to and initiate processes that work towards enhanced credit and collections, and improving service levels to both internal and external customers.oActively participates in process and service improvement activities.oEncourages and supports staff members in the pursuit of service excellence.

Must Have: Minimum Requirements

  • High School Diploma or GED

  • Minimum of 2 years of relevant experience

Nice to Have

  • 3 or more years billing and/or collections experience in a medical group, health care company, or hospital setting.

  • Experience with various insurance plans offered by both government and commercial insurances (PPO, HMO, EPO, POS, Medicare, Medicaid, HRAs, etc) and coordination of healthcare benefits, including requirements for referral, authorization and pre-determination.

  • Experience with reading and understanding the information provided on EOBs, remittance advices, and other insurance correspondence, and in calculating patient responsibility taking into consideration coverage and benefits, including referral, authorization, and/or pre-determination requirements, and contract terms.

  • Experience with reviewing and analyzing insurance payments, and/or payor adjudication of claims against contract terms and patient coverage and benefits.

  • Experience with medical billing and collections terminology CPT, HCPCS, and ICD-10 coding.

  • Experience with HIPAA guidelines and healthcare compliance.

  • Experience with MS Office suite (Word, Excel, Outlook), and internet and web site navigation.

  • Good customer service skills with ability to interact with both internal and external customers, i.e. patients, insurance payors, doctors, internal departments and handle in a professional manner with customer-friendly focus and attention to detail in resolving issues.

  • Minimum 4 months of experience working in Medtronic PFS department

  • Proficiency in navigating multiple screens and programs at the same time in order to facilitate problem solving, and other activities that require multi-tasking.

  • Ability to maintain composure, and to follow instructions and protocols when dealing with unfamiliar or unusual payor / customer issues.

  • Demonstrated ability to present information in a clear, concise, and grammatically correct manner both verbally and in writing.

  • Demonstrated collaboration skills (including active listening skills, presentation skills) and proven ability to work effectively in a diverse, inclusive organization and environment.

  • Demonstrated ability to accept and carry out oral and written instructions accurately.

  • Demonstrated ability to prioritize work, handling daily and multiple tasks to completion within the time allotted, while working as part of a team within a demanding environment.

  • Ability to prepare forms, spreadsheets, and graphs.

  • Experience in a payor or medical provider community that deal with all aspects of the revenue cycle.

  • Experience in a large corporate (even matrixed) environment

  • Previous work experience with GE Centricity

About Medtronic

Together, we can change healthcare worldwide. At Medtronic, we push the limits of what technology, therapies and services can do to help alleviate pain, restore health and extend life. We challenge ourselves and each other to make tomorrow better than yesterday. It is what makes this an exciting and rewarding place to be.

We want to accelerate and advance our ability to create meaningful innovations - but we will only succeed with the right people on our team. Lets work together to address universal healthcare needs and improve patients lives. Help us shape the future.

Physical Job Requirements

The physical demands described within the Responsibilities section of this job description are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. For Office Roles: While performing the duties of this job, the employee is regularly required to be independently mobile. The employee is also required to interact with a computer, and communicate with peers and co-workers.

It is the policy of Medtronic to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Medtronic will provide reasonable accommodations for qualified individuals with disabilities.

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