Financial Advocate (Full Time)

Patient Financial Services I - Bilingual Spanish North American Partners in Anesthesia Job Category

Finance

Type: Full time

Provide excellent customer service to customers and external business partners (Med Data and our Collections Agencies) using various forms and means of communication to appropriately respond to questions and inquiries.

a Provide customers and external business partners with accurate

information and account status. This requires thorough review of Med suite and Med Data Portal; review of account Notes; Request and validate the account information necessary for billing

and claim submission. information, patient’s legal name, billing guarantor, current address,

and telephone number.

Escalation of accounts is appropriate only when Associate is unable to

Handle client complaints in a professional manner following all policies and procedures. advise of the right to file a formal, written billing dispute in accordance

with policy/procedure.

Verify 3 separate elements of the patient account including the patient’s date of birth, prior to speaking with clients.

Ensure new and/or updated claims are submitted when appropriate

Always validate patient’s legal name and secondary insurance

Verify patient eligibility by contacting payers, and accurately update all required fields in Med suite for timely claim submission.

Always, correctly select a payer plan that represents the subscriber’s insurance and financial class.

Payer Plan code selection must always reflect whether the insurance is contracted Managed Care, Commercial non-par, or Government, per Master Database Contracts and/or Payer Search .

Determine whether a claim must be billed or re-billed to the primary or secondary insurance when appropriate. previously billed, the status of outstanding primary or secondary claims,

Document all actions taken in appropriate Notes section of Med suite.

accounts worked from web portal or reports, credit cards processed, etc. Accounts not noted are considered “not worked”.

Responsible for working Med Data related tasks as follows:

Med Data Info Requests found in the Web Portal within 72 hours.

These include account research, notating web Portal and Med suite.

resolve any discrepancies prior to placement with Med Data.

Work daily Exception Reports generated from Med Data as instructed.

Perform analysis and work accounts generated from the

150 Day Reconciliation Report to reconcile Med suite

and Med Data.

Work Front End Reconciliation Reports to ensure daily file transmissions are successful and prevent inconsistencies between both billing systems.

Work various Med Data Queue Maintenance Reports and Med Data follow up queue in Med suite.

Coordination with Frost Arnett and Optima Collection Agencies.

Work various reports submitted by Collection Agencies and respond

Adhere to all policies and procedures .

Comply with all applicable policies and training documents including (but not limited to): Patient Accounts Training Manual, Patient Disputes, Customer Service Collection Methodology, and Secure Communication/PHI.

Any patient private health information (PHI) must not be divulged on any account except to payers that need the information to process the claim for payment.

Read and comply with all established policies and procedures, both

internal and companywide, with special attention to Compliance policies.

Openly discuss weakness in policies and make suggestions

Communicate in an effective, business-like manner by telephone,

e-mail, fax, and in the billing systems.

When speaking with clients, employ appropriate phone etiquette

to the PFS Unit.

c Willing to help other team members with problems as well

Thoroughly troubleshoot problem accounts with limited direction

mutual respect, and quality customer service.

Participate in quality improvement and morale building initiatives.

Meet or exceeds required departmental performance standards

Work overtime in mandatory situations.

North American Partners in Anesthesia (NAPA) has evolved through more than 30 years to become a leader in anesthesia and perioperative services. At NAPA, we cultivate leaders, promote work-life balance, and celebrate diversity. At NAPA, we cultivate leaders, promote work-life balance, and celebrate diversity.