Patient Advocate II

Melville,NY - USAPosition RequirementsRESPONSIBILITIES:Inbound and Outbound CommunicationEfficiently manage inbound and outbound calls, ensuring high-quality service and responsiveness to patient needs.Issue Analysis and ResolutionAnalyze Explanation of Benefits (EOB) documents to understand and resolve billing issues.Utilize critical thinking and problem-solving skills to address and resolve patient inquiries quickly.Effective Communication: Provide clear explanations to patients regarding their insurance claims and coverage. Identify and escalate complex issues to the correct department for timely resolution.Financial Reviews and AdjustmentsSelf Pay Credit Balance Review: Ensure accounts have been reviewed and worked on for outstanding balances.Adjustment posting: Post adjustments after accounts have been reviewed and deemed necessary.Collection Review: Remove accounts from collections upon review.Collection Agency Reports: Review reports daily.Bankruptcy Reviews: Conduct reviews of accounts to ensure the final financial status of bankruptcy is valid.Price Quotes and Estimates: Deliver accurate and prompt self-pay price quotes and financial estimates to patients, enabling them to make informed decisions regarding their care.Workqueue ReviewsBad Address Review: Review statement edits in Self Pay Open Workqueue in Athena to ensure accounts have been appropriately worked in conjunction with the billing cycle.Correspondence Open Task Workqueue: Review accounts in Athena to ensure proper assignment and follow-up.Self Pay Open Workqueue: Review statement edits, debit statement balance, credit account balance, and invalid statement totals.Hold Bill/Alert Open Workqueue: Review accounts that need to be worked due to incomplete registrations.REQUIRED QUALIFICATIONSProven experience in customer service, preferably in a healthcare or financial setting.Strong understanding of medical billing processes and insurance-related documentation.Excellent communication and interpersonal skills.Ability to work effectively both independently and as part of a team.PREFERRED QUALIFICATIONSAssociate degree; or High School diplomaExperience with AthenaIDX or similar Medical Billing platformExperienced in Medical BillingTotal Rewards:Salary: $21.92- $30.13 per hourGenerous benefits package, including:Paid Time OffHealth, life, vision, dental, disability, and AD&D insuranceFlexible Spending Accounts/Health Savings Accounts401(k)Leadership and professional development opportunitiesThe Patient Advocate II is crucial in managing patient communications related to billing and insurance queries. This role involves efficiently handling both inbound and outbound calls, providing accurate self-pay price quotes and estimates, and promptly resolving patient inquiries through informed decisions and coordinated efforts. Building on the foundational responsibilities of the Patient Advocate I's position; this role requires advanced skillsets to deliver enhanced service and support to our patients.EEO StatementNorth American Partners in Anesthesia is an equal opportunity employer.