Patient Business Services Representative

4 weeks ago

KailuaKona, United States Xtend Healthcare, LLC Full time

Xtend Healthcare is a revenue cycle management company focused exclusively on the healthcare industry. The company's services range from full revenue cycle outsourcing, A/R legacy cleanup and extended business office to coding and consulting engagements. As part of Navient (Nasdaq: NAVI), Xtend taps the strength and scale of a large-scale business processing solutions company. Learn more at www.xtendhealthcare.net

***Xtend offers competitive benefits including Medical/Dental/Vision, Generous Paid Time Off/9 Paid Holidays/Tuition Reimbursement/401k plan plus Employer Match/Professional Development/Employee Stock Purchase Plan***

THIS POSITION WILL BE ON-SITE ON THE BIG ISLAND OF KONA, HAWAII.

WORK MUST BE PERFORMED IN THE UNITED STATES.

The Patient Business Services Rep II-Access Registration is responsible for tasks relating to the completion of patient registration for hospital and/or physician services. The Patient Business Services Rep-Access Registration will be required to have flexibility to learning and comprehending complex hospital systems in order to communicate directly with patients, healthcare providers, physician offices and ensuring the information collection is complete and accurate. The Patient Business Services Rep-Access Registration will be responsible that their patient, payer and provider interactions are carried out according to company, client and federal guidelines.

JOB SUMMARY:

1.  Access Registration Tasks.               

·         Exceed productivity standards as outlined by business line

·         Complete patient registration (post clinical triage of patient) by obtain and verify health plan coverage

·         Accurately document patient demographics and health plan information

·         Support access registration, insurance verification and authorization functions

·         Contact physician offices and/or payers for follow-up on eligibility and authorizations and

·         Maintain quality scoring and accuracy on all accounts worked

·         Ability to work independently and make responsible decisions

·         Completes timely follow-up on assigned accounts to ensure no cash loss

·         Demonstrates the ability to prioritize work with minimal oversight to meet outlined goals

·         Acts as a knowledge resource for team members

·         High level understanding of client host system functions

·         Clearly documents actions taken and next steps for account resolution in patient accounting system

2.  Ensure all accounts are worked within client standards and Federal Regulations.  

·         Work within federal, state regulations, department/division & all Compliance Policies                   

·         Maintain clear, concise, and accurate documentation of all attempts and/or contacts made and received for accounts in accordance with company and client specifications 

3.  Maintain continuing education, training in industry career development. 

·         Maintain current knowledge of and comply with all federal and state rules and regulations governing phone calls and collections including HIPAA, FDCPA, Privacy Act, FCRA, etc.

·         Attend training sessions as directed by management and disseminate to colleagues

·         Integrate information obtained through training sessions and policy changes immediately into daily routine

MINIMUM REQUIREMENTS:

·         High school diploma

·         Minimum of 1 year of medical/physician office experience is required

·         Minimum of 1 year of basic computer skills to include MS Office apps: Outlook, Word, Excel

·         (Additional equivalent education above the required minimum may substitute for the required level of experience)

PREFERRED QUALIFICATIONS:

·         Demonstrate knowledge of communication regulations relating to HIPAA and TCPA and other FCC requirements

·         Experience with Insurance payers (Medicare, Medicaid, Commercial, Workers Compensation) preferred

·         Remote working experience

·         Dedication to treating both internal and external constituents as clients and customers, maintaining a flexible customer service approach and orientation that emphasizes service satisfaction and quality.

·         Proficient use of hospital registration and/or billing systems, and Microsoft Word and Excel software applications.

·         Ability to manage multiple tasks simultaneously and adjust to issues as needed in a dynamic work environment.

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