Patient Services Representative
GroupOne Healthsource Inc. - St. Louis, MO

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DESCRIPTION

A medical software reseller and physician billing company is seeking an experienced,bilingual Patient Account Representative to join our Patient Accounts team.

The primary responsibility of this position is to provide an exceptional level of customer service and work product for every patient and every client as well as to work successfully with third party payers and patient guarantor to resolve outstanding balances.

The position exists to assist patients with their billing/statements inquires in order to get payments process more quickly for our clients.

If you have background in reviewing patient accounts, collecting patient payments and have a strong knowledge of working with third party payors, this might be the job for you.

If you are searching for a new organization to join and you meet these criteria, we would love to hear from you. We are looking to hire the right candidate quickly. Applicant must be self-motivated, flexible, and must have basic PC software knowledge; eClinicalWorks or EMR knowledge is a plus but not required.

DUTIES

  • Answer multi-line phone system
  • Review a patient's account to ensure accuracy.
  • Identify and resolves patient billing complaints
  • Manage inbound and outbound phone calls from patients and staff relating to patient accounts
  • Maintain required records and files
  • Process all clerical records and patient information requested to resolve patient account balances
  • Respond promptly and completely to all written patient inquiries and requests for additional information, etc., to obtain a final resolution to the problem
  • Respond to patient inquiries, researching and resolving unpaid balances and credit balances.
  • Perform various collection actions including contacting patients by phone and resubmitting claims for third party reimbursement.
  • Interpret and communicate client billing practices, insurance claims submissions, and out-of-pocket patient responsibility to all customers; including physicians, physicians' office staff, patients and others with a business need to know.
  • Evaluate patient financial status and establishes budget payment plans
  • Post accurate account adjustments, correspond with clients to reverse adjustments and update notes on the account.
  • Follow department policy and procedures to ensure the maintenance of adequate account documentation to meet audit requirements
  • Comply with HIPPA guidelines
  • Always maintain confidentiality in employee and patient matters and adheres to GroupOne Healthsource Corporate Ethics and Compliance Program
  • Attends training in order to improve medical billing knowledge and to improve communication and computer skills
QUALIFICATIONS

  • High school diploma or equivalent
  • Minimum of one year medical office experience and one year of customer service experience
  • Knowledge of medical terminology, medical billing/collection practices, and basic medical coding
  • Knowledge of Medicare and Medicaid billing guidelines as well as third party operating procedures.
  • Knowledge of customer service concepts, techniques and etiquette
  • Excellent verbal and written communication skills
  • Bilingual (English/Spanish) is a big plus
  • Strong knowledge of computerized billing systems
  • Basic office skills
  • Knowledge of computer programs, spreadsheets and applications
  • Knowledge of legal and regulatory government provisions
We have a fast paced environment offering an exceptional level of teamwork. We are searching for an organized and detail oriented candidate to join our organization. Our ideal candidate should be self-motivated, have strong math skills, enjoy working with patients, people and have an exceptional level of work product.
  • Answer multi-line phone system
  • Review a patient's account to ensure accuracy.
  • Identify and resolves patient billing complaints
  • Manage inbound and outbound phone calls from patients and staff relating to patient accounts
  • Maintain required records and files
  • Process all clerical records and patient information requested to resolve patient account balances
  • Respond promptly and completely to all written patient inquiries and requests for additional information, etc., to obtain a final resolution to the problem
  • Respond to patient inquiries, researching and resolving unpaid balances and credit balances.
  • Perform various collection actions including contacting patients by phone and resubmitting claims for third party reimbursement.
  • Interpret and communicate client billing practices, insurance claims submissions, and out-of-pocket patient responsibility to all customers; including physicians, physicians' office staff, patients and others with a business need to know.
  • Evaluate patient financial status and establishes budget payment plans
  • Post accurate account adjustments, correspond with clients to reverse adjustments and update notes on the account.
  • Follow department policy and procedures to ensure the maintenance of adequate account documentation to meet audit requirements
  • Comply with HIPPA guidelines
  • Always maintain confidentiality in employee and patient matters and adheres to GroupOne Healthsource Corporate Ethics and Compliance Program
  • Attends training in order to improve medical billing knowledge and to improve communication and computer skills

GroupOne Healthsource Inc. - 19 months ago - save job - block