Austin Regional Clinic-posted 4 months ago
Full-time
Austin, TX
Ambulatory Health Care Services

Prepares estimates for medical services prior to treatment, educates patients and collects payment when appropriate. Carries out all duties while maintaining compliance and confidentiality and promoting the mission and philosophy of the organization.

  • Utilizes Medical Present Value's Patient Responsibility Pricer application to prepare estimates for medical services.
  • Obtains appropriate eligibility and benefits information, and together with the contractual allowable data creates estimates.
  • Contacts patients to provide a verbal estimate and attempts pre-collection of the patient responsible amount.
  • Advises patient that the estimate may not reflect all charges as they vary based on services provided.
  • Educates patients on their financial responsibilities.
  • Mails a formal copy of the estimate and a letter to the patient.
  • Documents details in account notes.
  • If patient is present for estimate creation, obtains Patient's signature on estimate and attempts to collect patient responsible amount.
  • Maintains file copies of estimates.
  • Returns telephone calls within timeframes established by department.
  • Interacts with providers' office and the billing office staff.
  • Receives inbound telephone calls from internal and external customers.
  • Asks appropriate verification questions prior to releasing confidential patient information in accordance to company policy/HIPAA guidelines.
  • Reviews explanation of benefits documents with knowledge and ability to explain information to patients/customers.
  • Provides financial counseling service/payment arrangements to walk-in patients with outstanding account balances.
  • Documents all actions with clear and accurate documentation in the Account Notes.
  • Receives patient refund request information and forwards to Refunds processing.
  • Reviews account transactions for accuracy.
  • Uses appropriate transaction and ANSI codes per Posting guidelines.
  • Reviews and documents patient correspondence.
  • Contacts patients to acknowledge receipt of correspondence in a timely manner, whenever necessary.
  • Obtains updated insurance information and forwards to the Registrations unit for eligibility verification.
  • Utilizes Payor Websites efficiently and maintains confidential security passwords.
  • Receives credit card payments via telephone and posts payment accordingly.
  • Establishes payment plans per Payment Agreement guidelines.
  • Works closely with Collections Department and/or directly with Customers on payment of balances due.
  • Sets up accounts with payment plan information and clearly documents the terms of the agreement.
  • Consults with Supervisor prior to offering discounts for non-covered services.
  • Performs all of the tasks of the PSC and Sr. PSC as needed or assigned.
  • Adheres to all company policies, including but not limited to, OSHA, HIPAA, compliance and Code of Conduct.
  • Regular and dependable attendance.
  • Follows the core competencies set forth by the Company.
  • Works holiday shift(s) as required by Company policy.
  • Assists supervisor with disputed accounts which may require additional follow up and/or rework.
  • Keeps complete, accessible, and current Payor information.
  • Provides assistance to coworkers as requested and/or necessary.
  • Responds professionally and effectively to questions from external sources, i.e., customer or carrier, and internal sources, i.e., provider or management team.
  • Attends required inservices/training sessions/department meetings.
  • Meets performance competency standards for Registrations and Patient Accounts.
  • Performs other duties as assigned.
  • High school diploma or GED.
  • One year previous customer service experience in medical billing and collecting money.
  • Experience with CPT and ICD coding.
  • Some higher education.
  • Bilingual in English/Spanish.
  • Medical
  • Dental
  • Vision
  • Flexible Spending Accounts
  • PTO
  • 401(k)
  • EAP
  • Life Insurance
  • Long Term Disability
  • Tuition Reimbursement
  • Child Care Assistance
  • Health & Fitness
  • Sick Child Care Assistance
  • Development
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