Billing and Insurance Specialist

2 weeks ago

Little Rock, Arkansas, United States Pain Treatment Centers of America Full time
Job Overview

POSITION SUMMARY

The Patient Financial Services Coordinator plays a crucial role in addressing patient inquiries related to billing and financial matters. This position involves generating and distributing precise reports to various departments, ensuring seamless communication and accurate data management.

KEY RESPONSIBILITIES

  • Assist patients in verifying eligibility for scheduled appointments in both clinic and ambulatory surgical center (ASC) environments.
  • Provide cost estimates for upcoming procedures within the ASC framework.
  • Conduct thorough reviews of patient invoices to ensure accuracy and completeness, obtaining any necessary missing information.
  • Engage with insurance providers to clarify patient benefits as needed.
  • Identify and process secondary or tertiary insurance claims.
  • Monitor accounts for follow-up on patient insurance matters.
  • Respond to all inquiries from patients or insurance representatives regarding assigned accounts.
  • Establish patient payment plans and manage collection accounts effectively.
  • Update billing software with any rate changes and promptly inform relevant departments.
  • Generate and distribute accurate monthly front desk collection reports to the appropriate personnel.
  • Serve as the primary contact for Patient Support Representatives regarding billing inquiries, assisting patients in understanding their charges and outstanding balances.
  • Facilitate coordination of benefits for patients and notify staff upon resolution.
  • Maintain comprehensive knowledge of policies from all accepted insurance carriers, including Medicare and Medicaid.
  • Stay informed about the credentialing status of all providers with each individual entity.
  • Assist patients in comprehending their out-of-pocket expenses, detailing benefits such as co-payments, co-insurance, deductibles, and coordination of benefits.
  • Explain and arrange patient payment plans, alternative financing options, and charity programs.
  • Process patient payments accurately and update accounts and balances accordingly.
  • Oversee the provision of accurate cost estimates to patients.
  • Support patients in completing financial assistance applications in line with the financial assistance policy.
  • Perform additional related duties as assigned.

ESSENTIAL SKILLS

  • Exceptional oral and written communication abilities.
  • Strong customer service and interpersonal skills.
  • Familiarity with current medical terminology for effective communication with healthcare professionals and patients.
  • Proficient telephone communication skills.
  • High attention to detail and organizational skills.
  • Basic computer proficiency and typing skills.
  • Patient-centered approach.
  • Self-motivated and capable of working independently while providing timely updates.
  • Ability to prioritize and manage multiple tasks without direct supervision.
  • Capacity to multitask and perform well under pressure while meeting tight deadlines.
  • Commitment to compliance with regulatory standards.
  • Demonstrated ability to adapt to changing situations and reprioritize tasks as necessary.
  • Maintain a well-organized work area to efficiently complete diverse assignments within set timeframes.
  • Consistent attendance and punctuality.
  • Adhere to departmental policies and procedures.

EDUCATION AND EXPERIENCE REQUIREMENTS

This is a full-time role with expected working hours from 8:00 a.m. to 5:00 p.m. (Monday through Thursday) and 8:00 a.m. to 12:00 p.m. (Friday). The position operates in a professional office setting, requiring the incumbent to engage in various activities including writing, typing, speaking, and utilizing standard office equipment.

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