Sr. Patient Collections Call Center

JOB SUMMARY

Patient Collections Call Center Sr. will help our communities thrive by providing exceptional customer service to our patients, helping them navigate, make payments, and resolve account related issues.

ACCOUNTABILITIES

Uses Technical and Functional Experience Possesses up to date knowledge of the profession and industry Accesses and uses resources when appropriate Demonstrates Adaptability Handles day to day work challenges confidently Is willing and able to adjust to multiple demands, shifting priorities, ambiguity, and rapid change Shows resilience in the face of constraints, frustrations, or adversity Demonstrates flexibility Customer Service Demonstrates positive interpersonal relations in dealing with fellow employees, supervisors, physicians, patients as well as outside contacts so that productivity and positive employee/patient relations are maximized. Uses Sound Judgment Makes timely, cost effective, and sound decisions

ROLE AND RESPONSIBILITIES

Must possess excellent customer service skills, and demonstrate the ability to support clients, customers, and team members navigate and resolving billing and collection-related issues. Ensures all insurance, demographic, and eligibility information is obtained from patients and entered into the system in an accurate and timely manner. Registers patients in the system as necessary. Collects and reviews all patient insurance information and completes insurance forms. Collects co-pays, deductibles, and other out-of-pocket amounts at the time of visit. Confirms patient insurance verification and eligibility. Obtains pre-authorization of services and/or referrals. Assesses patient financial requirements and advises patients and families on insurance benefits, co-pays, and financial obligations. Posts line items and adjustments to patient accounts. Balances receipts, reconciles daily work batches, and prepares audit trail. Prepares deposits for the bank as needed. Reviews Explanation of Benefits (EOB) for consistency. Submits files and processes all claims for payment. Research and resolve claim delay issues. Resolves patient questions and complaints regarding insurance billing and adjusts accounts as necessary. Resubmits claims and process all insurance/patient correspondence. Provides all documentation to expedite payment. Follows up on assigned accounts. Uses collection techniques to keep accounts current including monitoring for delinquent payments. Sets-up financial arrangements with patients as necessary. Assists patients with researching and obtaining community resources including housing, transportation, drugs and pharmaceutical supplies, and financial resources. Reviews and resolves patient account discrepancies including but not limited to proper payment application and refunds. Returns critical calls and provides dispute resolutions to customers. Creates training material. Interfaces with patients, providers and other stakeholders. Participates and contributes to organizational projects.

MINIMUM QUALIFICATIONS AND REQUIREMENTS

High School Diploma or equivalent required. Minimum five years of medical business office experience.

PREFERRED EXPERIENCE

Previous medical office experience Previous health related call center experience #J-18808-Ljbffr Catalyst Health Group