Credit & Collection Rep I (CNPA)

Kids Are Our Everything.

Department

Pay Range

• Responsible for coverage of incoming calls between 8:00am and 4:30pm.

• Respond to patient and Practice inquires.

• Resolve patient questions with Practice/Provider, Insurance and Revenue Cycle Manager as necessary .

• Review account activity to ensure that all insurance including secondary for DOS has been sequenced, filed and credited appropriately.

• Review statement activity and billing cycle to ensure that the patient is receiving statements with a minimum of two statements prior to collection activity .

• Document and note all findings and actions taken on account and/or Finance Notes according to CP&A policy

• Research questions identified through account evaluation or patient inquiry contacting the payer if necessary.

• Take necessary action to correct, resubmit or appeal claims denied inappropriately .

• Consult with insurance follow-up to ensure rebill/appeal actions are appropriate and communicate identified charge errors or payer changes to insurance follow-up.

• Verify and apply secondary insurance and file claim if applicable.

• Contact guarantor to collect balance in full for assigned age group/Practice following CBO collection guidelines.

• Establish payment arrangement based on CBO procedure.

• Establish a follow-up process to ensure that payment plan agreements are honored.

• Manage AR age for assigned age/Practice to ensure that guarantor balances are resolved within the expected time frame following CP&A policy.

• Take necessary steps to recommend transfer to collections if guarantor is not compliant within the promised time frame.

• Process authorized adjustments following CBO procedure.

• Review unapplied cash and work with Team Leader to transfer if applicable.

• Transfer authorized accounts to collections following CBO procedure.

• Document and note all findings and actions taken on account and/or Finance Notes according to CP&A policy.

The disclosed salary range includes the minimum and maximum rates within which Children’s National believes an individual’s base pay rate will fall for this position. It is not typical for an individual to be hired at or near the maximum of the pay range. The exact pay rate for this position will be based on a variety of factors in alignment with the Children’s National compensation philosophy. These factors are legitimate and non-discriminatory including, but not limited to, the current market conditions; organizational needs; the individual’s combination of prior work experience, level of education, knowledge, skills, and other qualifications. Children’s National is committed to providing a fair and competitive total rewards package to each of our employees. This base salary range does not include our comprehensive benefits package or any additional compensation for which this position may be eligible.

Childrens National Hospital is an equal opportunity employer that evaluates qualified applicants without regard to race, color, national origin, religion, sex, age, marital status, disability, veteran status, sexual orientation, gender, identity, or other characteristics protected by law. The “Know Your Rights” poster is available here: and the pay transparency policy is available here: Know Your RightsPay Transparency Nondiscrimination Poster.

Please note that it is the policy of Children's National Hospital to ensure a “drug-free” work environment: a workplace free from the illegal use, possession or distribution of controlled substances (as defined in the Controlled Substances Act), or the misuse of legal substances, by all staff (management, employees and contractors). Though recreational and medical marijuana are now legal in the District of Columbia, Children's National and its affiliates maintain the right, in accordance with our policy, to enforce a drug-free workplace, including prohibiting recreational or prescribed marijuana.