Patient Support Specialist

4 weeks ago


Arlington, United States Advantia Health Full time

Advantia is transforming healthcare for all women - setting a higher standard of care and convenience while reducing unnecessary costs. Compassion and value inspire everything we do. We take time to listen, answer questions completely, and offer helpful technology between visits so that our patients are empowered and at ease. Alongside coordinated care, Advantia is pioneering care models that align incentives with the best interests of women and their families.

Advantia is expanding quickly through organic growth and acquisitions, providing direct care through more than 200 providers across 60 locations, serving over 430,000 patients at our OB-GYN and coordinated specialist offices. Advantia also enables health plans, state health organizations, hospital systems, and employers to deliver high-value care through technology products.

Learn more at: www.AdvantiaHealth.com

About the role:

The Bilingual Patient Support Specialist is responsible for responding to patient inquiries regarding insurance benefits, patient responsibility, insurance updates, payment plans, eligibility and claims in a confidential, professional, and ethical manner. Communication to patients must be
timely and documented in Athena.

Job Responsibilities:

  • Handle Spanish-speaking patient calls across Advantia practices.
  • Respond to patient questions via telephone, e-mail, and written correspondence regarding insurance benefits, provider contracts, patient responsibility, eligibility and claims in a confidential, professional, and ethical manner.
  • Resolve patient issues and complaints in a timely manner.
  • Establish payments plans as requested.
  • Document Athena with clear, concise and thorough notes.
  • Respond to patient calls/requests within 48 hours of initial request.
  • Research and analyze data to address operational challenges and customer service issues.
  • Report any trends to management.
  • Provide patients with requested information, including those that are difficult and upset.
  • Work Collection agency inquiries and referrals.
  • Assist with other billing/collection duties, as needed.
Qualifications:
  • At least 2 years of Athena, EMR system experience.
  • At least 1 year of OB/GYN billing experience.
  • Solid understanding of health insurance plans, billing functions, and electronic medical records.
  • Excellent customer service, multi-tasking, and time management skills.
  • Ability to achieve team goals while demonstrating organizational values and utilizing resources responsibly.
  • Proficient computer skills; working knowledge of billing software and/or electronic medical record.
  • Competent in written and verbal communication, as well as interpersonal communication skills.
  • Ability to adapt to a constantly changing environment.
  • Ability to work independently in a remote setting.
  • Be accountable, when you uncover an issue or trend, assess and report what is happening in terms of impact, making improvements, and course correcting along the way.

Please note: Advantia Health is dedicated to providing unparalleled healthcare to our customers by employing the most highly-qualified individuals. If you are selected for further consideration, you will be subject to a background investigation. COVID-19 and Flu vaccination is a required condition of employment.

Advantia Health is an Equal Opportunity Employer that is committed to global diversity: It is a place where good people want to work, and customers want to continue to engage in EOE M/F/D/V.

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