Patient Collections Representative

4 days ago


Lake Charles, United States Center for Orthopaedics Full time
Job DescriptionJob Description

GENERAL SUMMARY OF DUTIES:

Patient Collections Representative will be responsible for taking incoming calls and making outbound calls to patients who need assistance with patient account balances utilizing skills in record keeping, organization, and communications. The position requires strong knowledge of Medical Insurance EOB's including Copays, coinsurance, deductibles, denial codes, insurance allowed amounts/adjustments, and data entry skills.

ESSENTIAL FUNCTIONS:

  1. Responsible for taking inbound calls from the dedicated Billing Line and returning voice-messages in a timely manner.
  2. Responsible for assisting patients on the phone with questions regarding outstanding balances, updating insurance coverage if necessary, and providing customer support by helping patients understand financial responsibility in a helpful and non-confrontational manner.
  3. Responsible for following established procedures to resolve patient account balances:
  • Utilizing call scripts provided.
  • Collecting payments over the phone.
  • Determining eligibility for payment plans and setting up recurring payment methods.
  • Providing information to patient regarding other payment options available (e.g. KLARA messaging system, patient portal).
  • Providing information to self-pay patients according to company's cash pay policy.
  • Documenting all conversations electronically on company Practice Management system.
  • Understanding and fully complying with all federal and state laws and regulations (HIPAA, Medicare Fraud, Waste and Abuse, etc.) regarding collections policies and procedures.
  1. Ensure all verified payment transactions are posted/reconciled by EOD.
  2. Process refund request as needed.
  3. Assist with other financial duties as assigned.

KNOWLEDGE:

  1. Excellent data entry skills and must have a strong attention to details.
  2. Adequate and appropriate levels of oral and written communication of the English language
  3. Basic math
  4. Basic keyboarding and computer skills.
  5. Knowledge of EOB's co pay/coinsurance/deductibles, denial codes, and insurance allowable, adjustments.

EDUCATION:

High school diploma or equivalent.

EXPERIENCE:

  1. At least 1 yr. previous experience in collections, posting payments and adjustments in Medical Accounts Receivables preferred.
  2. Experience working in a fast-paced environment.

REQUIREMENTS:

  1. Proficient with computers
  2. Ten Key ability needed
  3. Knowledge of Microsoft Excel
  4. Strong ability to multi-task
  5. Detail oriented with strong organizational skills
  6. Excellent written and verbal communication skills
  7. Familiar with insurance explanation of benefits
  8. Professional behavior and appearance
  9. Excellent attendance and punctuality


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