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Patient Financial Services Representative

2 months ago


Downers Grove Illinois, United States Duly Health and Care Full time

About the Role:

Duly Health and Care is seeking a highly skilled Patient Financial Services Representative to join our team. As a key member of our revenue cycle team, you will be responsible for providing exceptional customer service to patients, providers, and employees.

Key Responsibilities:

  • Provide timely and accurate responses to patient inquiries, concerns, and requests regarding their accounts.
  • Work closely with patients and providers to resolve account challenges and communicate next steps for troubleshooting.
  • Identify potential revenue cycle challenges and escalate to departmental and/or leadership review as necessary.
  • Review billing transactions for accuracy and assist with resolving payment posting challenges on accounts.
  • Liaise with Utilization Management to assist with authorization challenges, timelines, and execution.
  • Provide capitated claim status to contracted providers and discuss capitation procedures.
  • Work with patients to resolve account balances by taking payments, setting up payment plans, or screening for Financial Hardship when appropriate.

Requirements:

  • High school diploma or GED.
  • 2-5 years of experience in membership, customer service, and/or healthcare billing.

About Us:

Duly Health and Care is a healthcare organization committed to delivering high-quality patient care and exceptional customer service. We offer a comprehensive benefits package, including medical coverage, tuition reimbursement, paid volunteer time off, and a culture committed to Diversity, Equity, and Inclusion (DEI) and Social Impact.