GENERAL SUMMARY OF DUTIES: Will be responsible for assisting patients regarding different insurance options, grant, foundation, and drug company assistance. Will be knowledgeable in and perform specific aspects that are required for insurance billing and patient collections. Can also assist with billing and patient inquiries in a professional and courteous manner face to face, on the phone.
SUPERVISION RECEIVED: Reports to Patient Financial Services Supervisor as well as the Patient Financial Services Manager
SUPERVISION EXERCISED: Minimal
TYPICAL PHYSICAL DEMANDS: Requires sitting for long periods of time. Some standing, stooping, bending or reaching required. May require lifting up to 30 pounds. Requires manual dexterity efficient to operate office equipment as necessary. Vision and hearing must be within normal range.
TYPICAL WORKING CONDITIONS: Work performed in an office setting. Involves frequent contact with staff, patients and the general public.
DUTIES AND RESPONSIBILITIES: (This list may not include all of the duties assigned)
* Performs necessary collection actions, including phone contact and written correspondence based on company policy. * Prepares correspondence to executors of estates of deceased patients and follows up on deceased patient accounts to close out existing balances. * The Patient Account Receivable report needs to be run every 30 days. Once report is generated, then each patient account must be reviewed to determine a action plan for money owed.
Responsible for setting up payment plans, looking for grant /drug assistance, and other insurance options with patients and their families as needed.
* Assisting with patients who have filed for bankruptcy. * Thoroughly documents actions taken in the process of reconciling each patient account balance. * Participates in group discussions, conferences, seminars and meetings when required. * Participate in continuing education related to patient collections. * Responsible for enrolling patients who qualify in patient assistance programs and maintaining records of all correspondence. Also is responsible to re-enroll patients in their Foundations when necessary. * Works specific patient reports, such as Medicaid Fee for service, confirmed self pay, and non participating insurance companies, to determine if there are other insurance options for the patient. * Works with uninsured and underinsured patients to enroll in other insurance that fits the patients needs better. * Assists Supervisor with the front desk projects or process improvements. * Needs to become if not yet a subject matter expert on insurance coverage. * Works with our insurance broker to assist patients to switch their Medicare coverage when applicable. * Responsible for assisting the front desk associates and the patient intake specialist when needed. This includes covering busy patient peak times, and may be needed to cover long periods of time; example covering schedule and unscheduled PTO. * Responsible to assist the Patient Advocate, Supervisor and manager when needed.
Knowledge, Skills and Abilities:
Knowledge of medical insurance industry, laws and regulations and operating procedures. Proficiency in filing and collecting insurance claims. Knowledge of ICD9 and CPT coding some knowledge of medical terminology. Skill in identifying/investigating problems, arriving at a solution and correcting errors. Skill in computer applications. Ability of maintain effective working relationship with patients, staff and public.
Education: High School Diploma
Experience: 1-2 years medical billing; previous collections experience preferred.