Patient Advocate II - Hybrid

US Anesthesia PartnersDallas, TX
Hybrid

About The Position

The Patient Advocate promotes favorable company relationships with patients, providers, and payers through prompt, accurate, and courteous resolution of telephone and written inquiries. All new hires must submit to and pass a pre-employment drug screen and background check. At this time, US Anesthesia Partners does not hire candidates residing in California, Hawaii, or Alaska. The base pay estimate for this role is $16.49 - $35.14 hourly. The final offer will depend on the skills, experience, and qualifications of the selected candidate. This range is for base pay only and does not include bonuses or other compensation. This position is eligible for an annual bonus. Bonuses are not guaranteed and are awarded based on company and individual performance.

Requirements

  • Bilingual Spanish preferred.
  • Excellent verbal and written English language skills to answer customer concerns in simple, common language.
  • Proficiency with math skills (i.e., skill in calculation of charges, payments and adjustments).
  • Knowledge of insurance processing, guidelines and general laws related to all payers.
  • Must be able to establish proficiency in using the IDX practice management system.
  • Excellent customer service skills.
  • Ability to multi-task effectively.
  • Data entry skills.
  • Basic knowledge of CPT, ICD-9 and ASA codes.
  • Sound problem solving skills & decision-making ability.
  • Strong analytical skills.
  • Skill in gathering and reporting information from multiple sources, (IDX, internet, electronic records).
  • Must have a pleasant disposition and high tolerance level.
  • Must display a positive “teamwork” attitude and strong interpersonal skills.
  • Ability to work effectively and independently.
  • Ability to maintain confidentiality.
  • Willingness and ability to follow direction and/or company policy as directed by management.
  • Minimum 1 year of customer service or billing collections experience.
  • High-school graduate or equivalent required.
  • Requires dexterity to type at least 50 wpm.

Nice To Haves

  • Associate degree in health or business administration or related field of study preferred.
  • Equivalent combination of education and experience will be considered.
  • Prefer experience in a health care organization.

Responsibilities

  • Answers incoming patient, insurance company, physician office and facility telephone calls.
  • Receives and responds to all inquiries and complaints that may pertain to all phases of operations including billing, claims, claim denials, payments, and collection activities.
  • Records all customer contacts, including resolution or forwarding action taken to refer question to proper party.
  • Whenever possible, resolves question directly so that patient receives prompt satisfaction.
  • Responds promptly to all written inquiries or notifies patient if there will be a delay in obtaining a final resolution to the problem.
  • Explains account situation accurately in simple language so that patient can understand the explanation and how it applies to the particular question.
  • Works assigned tasks, edits, queues and correspondence as assignment in a timely manner.
  • Takes note of recurring questions or problems that may be resolved or alleviated by changes in policy or procedures.
  • Attends in-service training to improve skills and to keep abreast of changes in contracts and procedures.
  • Identifies and communicates complaint patterns to management team.
  • Maintains strictest confidentiality.
  • Documents all actions in the system notes.
  • Demonstrates a positive attitude and serve others with personal service 100% of the time.
  • Uses the phone in a responsible, courteous and professional manner; keeping personal phone calls to a minimum.
  • Meets customer satisfaction standards set forth by management
  • Meets productivity/performance standards as set forth by management.
  • Adheres to all company policies and procedures.
  • Performs other duties as assigned.

Benefits

  • Annual bonus
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