Billing Specialist: Patient Billing & Outreach

Job Description

Job Description

Job Overview:

The Patient Billing & Outreach Specialist is responsible for managing patient billing process and conducting outreach to ensure patients understand their financial responsibilities and available resources. This role involves working closely with patients, healthcare providers, and insurance companies to resolve billing issues and provide exceptional customer service. 

Key Responsibilities:

• Initiate contact with patients via phone, email or mail to discuss statements, payments options and financial assistance program CARES.
• Provide clear and concise explanations of charges, insurance payments and Lynx DX payment plans.
• Communicate effectively with patients, addressing any concerns or questions regarding the billing process.
• Address patient inquiries and concerns promptly and professionally.
• Identify patients eligible for CARES financial assistance program and guide them through the application process.
• Respond to patient/insurance inquiries via phone, email, or web regarding billing questions and Lynx Dx CARES program.
• Provide accurate and up-to-date information about CARES eligibility, program guidelines, and resources.
• Handle patient complaints or concerns with professionalism, providing appropriate solutions or escalating to management when necessary.
• Collaborate with healthcare providers, insurance companies, and internal staff to address billing related concerns.
• Maintain detailed patient records and documentation in compliance with legal and organizational guidelines.
• Provide patients with accurate information regarding their account status, resolve any questions, and process patient payments in a timely manner.
• Leverage and share knowledge with peers and cross-functional colleagues to ensure success across the organization.
• Create and hold oneself and teammates accountable to an atmosphere of transparency, trust, and a commitment to success.
• Maintain productivity goals and meet deadlines set by the Billing Manager.
• Handel ad hoc requests and special projects as needed, demonstrating flexibility and adaptability to meet evolving business needs. 

Skills and Qualifications:

• Excellent Communication : Strong verbal and written communication skills for interacting with a diverse population.
• Customer Service Skills : Ability to handle difficult situations with empathy and professionalism.
• Organizational Skills : Strong attention to detail for maintaining accurate client records and managing multiple cases at once.
• Problem Solving : Ability to assess patient/client needs and provide appropriate solutions or referrals.
• Computer Literacy : Proficiency in using office software and databases to track cases and manage documentation.
• Teamwork : Ability to work collaboratively with other team members, departments, and external partners.

Education and Experience:

• Associate/Bachelor Degree and/or equivalent healthcare revenue cycle/billing operations experience.
• Familiarity with laboratory billing, healthcare reimbursement, payer policies and regulatory compliance in revenue cycle/billing operations.
• Previous experience in insurance billing, collections and customer service or a related field.
• Working knowledge of ICD-10, CPT and HCPCS coding (preferred but not required).

Working Conditions:

• May involve some travel or fieldwork depending on need.