RCM Patient AR Inbound

Overview:

Position Summary: Primary responsibilities include Responding to patient phone calls regarding billing inquiries. Effectively completes a variety of goal-oriented departmental tasks that will require adaptability, attention to detail and efficiency.

The successful candidate will report directly to the VP, Ops & Finance. The position location is flexible, but the placement must be willing to travel frequently.

Responsibilities:

• Processes in-bound calls regarding billing inquiries and to explain insurance benefits, account balances and review/reconcile/adjust account
• Scan all incoming mail/correspondence into patient files
• Establishes patient payment schedule
• Obtains verbal authorizations for credit card payments
• Completes liability of waiver forms for manager review and signature
• Focuses on reducing delinquent accounts and achieving maximum collections from patients
• Works with CCS AP staff to obtain manufacturer’s invoices and provide them to external RCM group
• Assist the handling of our automated patient billing platform
• Assist in the handling of payments received from secondary payers
• Maintains a high degree of confidentiality at all times due to access to sensitive information
• Maintains regular, predictable, consistent attendance and is flexible to meet the needs of the department
• Follows all Medicare, Medicaid, HIPAA, and Private Insurance regulations and requirements
• Abides by all regulations, policies, procedures and standards

Desired Outcomes:

• Exercises appropriate cost control measures
• Maintains positive internal and external customer service relationships
• Maintains open lines of communication
• Plans and organizes work effectively and ensures its completion
• Meets all productivity requirements
• Demonstrates team behavior and promotes a team-oriented environment
• Actively participates in Continuous Quality Improvement
• Represents the organization professionally at all times

Qualifications:

• High school diploma or GED equivalent and one year call center experience or equivalent combination of education and experience
• One year customer service or medical billing experience required. Preferably with a DME provider.
• Proficient in Microsoft Outlook, Word, Excel, PowerPoint and computer literacy
• Knowledge of government and commercial insurance payers as it relates to documentation of claims that are required before submission
• Ability to understand Medical Records documents such as safety rules, operating and maintenance instructions, and procedure manuals
• Ability to read and interpret Explanation of Benefit forms provided by payors
• Position may require evening and weekend availability
• Strong attention to detail, multi-tasking, communication, and organizational skills are essential
• Demonstrated ability to accurately perform data entry and pay close attention to detail

Values:

• Use appropriate methods and a flexible interpersonal style to help build a cohesive and collaborative team based on a foundation of trust and transparency. Deliver what you commit to.

• Ensure that the patient is the driving force behind business decisions, implementing service practices that meet needs of both the patient and the organization. Treat others the way you want to be treated.

• Encourage innovative approaches for addressing opportunities and facilitating change, driving cross-functional alignment to accomplish goals. Speak the truth.