Bilingual Claims Representative

1 week ago


Las Vegas, Nevada, United States Elevate Patient Financial Solutions Full time
Job Summary

The purpose of this position is to assist healthcare organizations in resolving accounts related to accidents.

This role is focused on obtaining accident details and insurance information from patients and other sources, requesting hospital liens and bills to be submitted to identified insurance carriers, and communicating with insurance adjusters and personal injury attorneys during the claims adjudication process to ensure timely payment.

Key Responsibilities
  • Maintain a queue of Third-Party Liability accounts as assigned by management.
  • Contact hospital patients via telephone to obtain accident details and insurance information.
  • Support hospital patients by answering questions about the Third-Party Liability process.
  • Obtain accident reports from law enforcement agencies when necessary.
  • Submit hospital bills to insurance companies for payment and request hospital liens to be filed, as applicable.
  • Maintain contact with insurance adjusters and/or personal injury attorneys during the claims adjudication process.
  • Provide updates to Elevate PFS's account management system as account work is completed.
  • Assist management with ad hoc inventory initiatives and other projects, as needed.
Requirements
  • High school diploma or GED required.
  • Minimum one-year experience working hospital revenue cycle processes preferred.
  • Knowledge of and compliance with State and Federal regulations that govern collection practices, such as HIPAA and FDCPA.
  • Knowledge of or experience working with hospital lien statutes is a definite advantage.
  • Intermediate knowledge of Outlook, Word, and Excel.
  • High commitment to customer service and high levels of empathy and understanding.
  • Dependable and highly detailed individual with strong organizational skills.
  • Ability to fluently speak, read, and write in Spanish.


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