Company Overview

Spectrum Healthcare Partners is Maine’s largest multi-specialty, physician-owned and directed professional organization and is comprised of over 200 physicians practicing in the areas of anesthesiology, orthopaedics, pain management, pathology, radiation oncology, radiology, and vascular & interventional services. Spectrum provides services at many of Maine’s hospitals throughout the state and in eastern New Hampshire.

POSITION SUMMARY

ESSENTIAL FUNCTIONS

• Serves as the subject matter expert for financial specialists, self-pay accounts receivable workflows & processes and price estimates.
• Is primary trainer for time-of-service collection, price estimates, surgical deposits, and customer billing related workflows.
• Serves as a resource for front-desk staff in the Portland office including provides coverage, assists with workflow and process questions, completes check-in during busy times. Serves as a resource to all practice locations for financial, billing, and patient AR questions/concerns.
• Handles escalated customer complaints or questions. Involves supervisor or clinical leaders as needed.
• Monitors daily self-pay accounts receivable activities and provides guidance, direction, and support to staff as priorities change.
• Works with other revenue cycle leads to ensure system optimization, excellent customer service and key performance metrics are achieved.
• Provides input to Patient Access Supervisor and Revenue Cycle Director on staff performance, training needs, system optimization, etc.
• With direction from revenue cycle leaders, develops, implements, and maintains self-pay accounts receivable workflows, protocols, policies, and procedures
• Resource and internal expert for Patient Experience Portal. Assists in training, monitors billing questions, identifies opportunities for improvements in patient experience.
• Daily problem solving and complex issue/dispute resolution
• Complies with the requirements of the Fair Debt Collection Practices Act, Patient Friendly best practice billing guidance, Regulation F and other regulatory requirements related to collection of patient balances.
• Complies with the philosophy of Spectrum Healthcare Partners to collect patient balances through personal contact with patient/guarantor without disrupting the provider patient relationship
• Maintains working knowledge of billing workflows, processes, and overall insurance accounts receivable
• Ensures departmental and practice protocols are followed, identifies, and conducts training as needed. Works with and regularly communicates this information to the Patient Access Supervisor
• Strives to maintain positive patient relations by handling problems and complains in a professional, confidential manner
• With assistance of Medical Office Leads, arranges for coverage for all sites or service and departments within Revenue Cycle
• Travels to all Orthopaedic practice locations on a regular basis; each location once every 4-6 weeks

PRIMARY RESPONSIBILITIES

• Coordinates financial specialist team in daily activities
• Responsible for financially clearing uninsured patients and patients with prior bad debt to receive services
• Accurately calculates and collects cash payments for uninsured patients before services are rendered
• Proactively works with patients to implement a payment plan on anticipated outstanding balances
• Records and maintains complete documentation of activities performed on account utilizing Account Collection
• Manages outstanding self-pay balances in the Account Collections queues according to the organization’s standards to effectively exhaust all possibility of in-house collection
• Uses knowledge of third-party reimbursement to ensure that services have processed correctly through insurance, working closely with Accounts Receivable staff when necessary
• Assists with data gathering for financial reporting
• Keeps abreast of current issues involving patient care or practice issues by attending and participating in department, team, and practice meetings
• Demonstrates professionalism always
• Displays cooperative behavior and interacts positively and effectively with others to promote a team environment
• Performs other duties necessary to maintain the overall efficiency and continuity of the clinic
• Is proactive in identifying, reporting, and participating in the resolution of any potential or actual patient safety issues
• Support the Company’s Vision and Values

QUALIFICATIONS

• Associates degree in related field or equivalent in education and relevant experience
• Minimum of 2 years of related healthcare experience. Physician practice or hospital-based physician practice experience helpful. Combination of revenue cycle experience preferred such as third-party healthcare billing, pre-authorization, customer service
• Supervisory skills and/or prior supervisory experience preferred
• Ability to make well-reasoned decisions, both independently and as part of a team
• Effective organizational skills, follow-through skills to meet patient, practice, and physician needs.
• Ability to work independently and function effectively as part of a team
• Ability to work collaboratively and effectively with individuals at all levels of the organization.
• Experience using of Microsoft Office, Outlook, Excel, Word, PowerPoint, and practice management software systems.
• Ability to use discretion in handling confidential information.

PHYSICAL DEMANDS / WORK ENVIRONMENT

• Operation of various office equipment; fax machine, telephone & voice mail system, stationary/lap top computer, scanner, e-mail system, cell phone, pager, and copier
• Light lifting of paperwork, folders or other general record keeping materials
• Lifting of mail bins and boxes up to 50 lbs.
• Regular monthly travel to various sites of service
• May be required to sit or stand for extended periods of time
• Occasional reaching, bending

Benefits and Perks

• Health Insurance (80% company paid)
• HSA Match ($3,000 family plan / $1625 individual plan)
• Dental & Vision Insurance Plans
• 401(k) Match and Profit Sharing Plan
• Life and Accidental Death and Dismemberment Insurance
• Long-term Disability Insurance
• Short-term Disability Insurance
• Generous paid time off
• Voluntary, Employee-Paid Benefits
• Medical Reimbursement Plan
• Dependent Care Plan

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