Billing Care Coordinator
4 weeks ago
Lucent Health Solutions LLC is seeking a highly skilled Billing Care Coordinator to join our Concierge Team based in Nashville, Tennessee. As a key member of our multidisciplinary care team, you will play a vital role in helping patients navigate the complexities of insurance and billing.
Key Responsibilities:- Provide exceptional patient experience through direct communication via high-volume inbound and outbound calls and secure messages.
- Assist patients in locating plan-friendly providers or facilities.
- Prevent and resolve delays in care by educating providers and facilities on Reference-Based Pricing (RBP) insurance.
- Confirm deployment and receipt of ancillary services such as home health, DME, radiology, and community-based social services.
- Aid and resolve patient issues regarding claims, billing, and payment of healthcare services.
- Educate patients on benefits plans, including deductibles, in/out-of-network inquiries, and estimation of benefits (EOBs), and plan types.
- Perform appropriate triage and escalation of routine and urgent patient calls to the clinical team when necessary.
- Call external facilities and providers to execute on care plan issues for patients.
- Make outbound patient calls to coordinate non-clinical patient needs.
- Assist the care team in locating community resources for patients.
- Assist the office-based team with faxing, documentation, and telephonic/virtual support of care management priorities.
- Participate in weekly team meetings and bi-weekly one-on-ones.
- A minimum of two years of related experience or equivalent, preferably in a physician office or clinical call center.
- High school diploma required.
- Patient, compassionate, and professional personality with strong service orientation.
- Proficient on Microsoft Office programs, EMR/Care Management platforms, and keyboarding.
- Demonstrated knowledge of legal and ethical issues related to confidentiality, including HIPAA and state-specific privacy laws.
- Knowledge of Reference-Based Pricing (RBP) and understanding the relationship between self-funded insurances and third-party administrators preferred.
- Ability to analyze complex data, draw conclusions, and act on that information in a timely manner.
- Ability to apply problem-solving techniques to the case management process.
- Excellent time management, flexibility, organizational, and multi-tasking skills with the ability to work independently.
- Critical thinking and good judgment to quickly determine and prioritize issues.
- Good communication, teamwork, and interpersonal skills with the ability to work with all levels of management.
- Prior telephonic patient engagement or care coordination experience required.
- Previous experience in medical claims and billing preferred.
Lucent Health Solutions LLC is an Equal Opportunity Employer that does not discriminate based on actual or perceived race, color, creed, religion, alienage or national origin, ancestry, citizenship status, age, sex or gender (including pregnancy, childbirth and related medical conditions), gender identity, gender expression, transgender status, sexual orientation, marital status, military service and veteran status.
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