Patient Service Specialist/Front Desk

3 weeks ago

Marrero, United States Priority Health Care Inc. Full time

Patient Service Specialist/Front Desk (Bilingual Preferred)

* Marrero, LA

* Full Time

* Finance and Accounting

* Experienced

Job Title: Billing/Patient Services Specialist Supervised by: Senior Staff accountant * Verify and enter patient demographic and insurance information into practice management software; Abstract information from medical record and assign appropriate codes as necessary.

* Prepare and submit claims to third party insurance carriers either electronically or by hard copy billing.

* Post charges, payments and adjustments.

* Understand insurance benefits including copays, deductibles and coinsurance.

* Interpret, post, and balance Explanation of Benefits and Remittance Advices.

* Research, correct, and re-submit rejected and denied claims.

* Review delinquent accounts and make payment arrangements with patients.

* Prepare appeals for denied claims.

* Respond to third party carriers request for medical record documentation.

* Answer patients billing questions.

* Must be organized in dealing with patient files and documents.

* Schedule appointment, carefully screens patients for insurance, new address, new patient visit or update registration and inform patient of adequate information that must be presented at time of visit

* Verifies method of payment for services and collects data and/or payment as appropriate.

* Informs patient of any existing balance noted in computer and request patient be prepare for any payment due at time of visit.

* General office filing, scanning sort faxes, faxing documents, and mail delivering to appropriate staff.

* High school graduate or General Education Degree (GED) required. Vocational training in health care related fields a plus, some work-related experience with billing and accounts receivable generally preferred.

* Pleasant telephone etiquette; ability to deal tactfully and effectively communicate with patients; must be computer literate.

* Strong organizational, quantitative skills and analytical skills.

* Demonstrated accuracy with a strong attention to detail.

* Excellent work ethic and ability to prioritize tasks.

* Detailed and process improvement oriented.

* Excellent problem-solving skills.

* Ability to present findings and discuss issues with providers effectively.

* Ability to work independently and as a part of a team in a deliverable-focused professional environment.

* Ability to shift focus as necessary when priorities change without losing sight of original assignments.

* Knowledge of Medicare, Medicaid, compliance, insurance, liability and tertiary payment methods.

* Willing and able to work extended hours as business needs require.

* Strong sense of confidentiality and professionalism regarding company and employee information.

* Strong listening, decision-making, time management, communication, and critical-thinking skills.

* Performance-driven with demonstrated ability to multi-task and work proactively with cross-functional teams.

* Proficiency with Microsoft Office programs, particularly excel.

* Two years of collections experience from multispecialty group for physician billing preferred.

* Experience with and knowledge of FQHCs billing (Federally Qualified Health Centers) is preferred

* Knowledge of healthcare carriers and payer requirements

* Bi-lingual preferred but not required.

* This job operates in a health care setting. This position requires frequent standing and walking.

* The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.

* This job description includes the major duties and responsibilities of the job but is not inclusive of every task inherent to the job. In addition, it may be occasionally necessary for employees to be assigned tasks not specifically covered by their permanent assignment. Employees will be expected to comply with reasonable requests from their supervisor.

* Stand for long periods.

* Perceive the size, shape, temperature, or texture of objects by touching with fingertips.

* Lift, push and/or pull up to 20 pounds.

* See objects at close vision and be able to identify and distinguish colors.

* Able to use hands and arms in handling, positioning, and moving materials.

* Able to store pharmaceutical supplies.

* Able to sterilize, and/or clean laboratory equipment or healthcare equipment.

* PHC will comply with the Americans with Disabilities Act, including the Americans with Disabilities Act Amendment Act, and all other Federal, State, and local legislative requirements. PHC will ensure that reasonable accommodations are made to enable a qualified individual with a disability to perform the essential functions of that position.

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