CBO Patient Financial Services Lead

3 months ago

Bethesda, United States MedVanta Full time
Position Summary / Scope of Responsibility

MedVanta is the nation's largest physician-owned and operated next generation management services organization (MSO). Our services are specifically designed for musculoskeletal (MSK) providers and go beyond that of a traditional MSO, empowering our clients with the precise infrastructure, data, technology, and administrative processes needed to thrive both today and tomorrow.

MedVanta has an employee centered culture that supports and promotes diversity and inclusion. Our encouraging and empowering management style makes MedVanta a great place to further grow your knowledge while building a team driven path to success.

The Patient Financial Services Lead is responsible for performing a variety of complex customer service- related functions through the Central Billing Office (CBO) Call Center. These include collection of prior debt, addressing billing questions, establishing payment plans, screening for financial assistance, responding to Chart inquiries and other customer service requests.

Primary Responsibilities

    • Make outbound collection calls on open balances
    • Assist with the preparation of the Monthly Pre-collection/Collection Agency Files
    • Complete and provide timely reporting to billing leadership, including standard weekly reports
    • Collect, post, and manage patient accounts
    • Review patient statements
    • Contact customers with overdue accounts and attempt to either collect the overdue amount or negotiate a payment plan to collect it in installments.
    • Communicate accurate patient and billing/claims information to insurance carriers
    • Update patient insurance, confirming eligibility and queue claims for billing
    • Review, address and monitor credit balances to ensure compliance with regulatory and contractual obligations
    • Receive and process patient credit card payments, and allocate to appropriate visits on the account
    • Evaluate accounts for bad debt placement and work with bad debt vendor on patient issues and concerns
    • Post appropriate discounts and adjustments to patient accounts
    • Interact with supporting departments; coding, cash-ops, AR follow up to resolve billing and payment issues
    • Conform with and abide by all regulations, policies, work procedures and instructions
    • Other duties as assigned.


Reporting Relationships

The Patient Financial Services Representative reports directly to the Assistant Director of Billing Operations. This role does have direct reports.

Requirements,Education, and Experience

1.High school diploma

2.5+ years of related experience, with experience in an orthopaedic setting preferred

3.Proficiency with Microsoft Office suite of products as well as electronic billing systems

4.Extensive knowledge of insurance, benefits, medical terminology and medical billing

Competencies / Required Skills and Abilities

1.Strong Interpersonal Skills - Ability to develop relationships and collaborate and influence in a decentralized organization.

2. Demonstrated ability to organize, prioritize, and manage multiple tasks in a dynamic environment with a proven track record of results.

3.Strong interpersonal, oral, and written communication skills with excellent self-discipline and patience.

4.Able to work independently.

5.Exudes professionalism in presentation.

6.Must be able to read, write, speak, understand and communicate in the English language.

Physical Demands

1. Must be able to sit for long periods of time and lift up to 25 pounds.

2. Must be able to use appropriate body mechanics techniques when performing desk duties.

3. Requires frequent bending, reaching, repetitive hand movements, standing, walking, squatting, and sitting.

4. Adequate hearing to perform duties in person and over telephone.

5. Must be able to communicate clearly to patients in person and over the telephone.

6. Visual acuity adequate to perform job duties, including reading materials from printed sources and computer screens.

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