Patient Advocate

Radiation Billing Solutions Inc•Houston, TX

About The Position

The Patient Advocate is responsible for effectively managing the billing cycle for assigned client site(s) by working the 4 C’s: Charges, Claims, Cash, and Collections to achieve Gold Standard Results. Accountable for reviewing charges for accuracy, submitting clean claims, posting and reconciling payments, and resolving insurance and patient accounts receivables to payment resolution. The Patient Advocate must be able to handle multiple, simultaneous tasks effectively and efficiently and is expected to demonstrate ENCORE in all communications.

Requirements

High School Diploma.
1+ years of healthcare billing experience preferred.
Ability to lift/carry up to 25 pounds.
Ability to sit/stand for long periods of time.
Good manual dexterity with the ability to perform repetitive hand/wrist motions.
Requires mastery of complex language, comprehension, reasoning, and analytical skills typically found in mid to high-level work.
Typical office environment
Moderate noise levels
A collaborative approach to assisting clients and staff.
Self-motivated with the ability to solve problems.
Reliable and extremely trustworthy.
Ability to maintain confidential and meticulous records.
Excellent verbal and written communication skills.
Proficient in Microsoft Office Suite or related software.
Exceptional organizational skills and attention to detail.
Adaptability and willingness to remain flexible when changes occur
Exhibit ENCORE values

Responsibilities

Understands insurance terminology, including deductibles, out-of-pocket coinsurance, copayments, and in-network and out-of-network.
Perform daily review of charges queued to go out to third party payers for clean claim submission.
Post incoming insurance and patient payments daily and ensure payments reconcile to client(s)
Manage A/R by working denials and delinquent insurance balances
Evaluate, prioritize, and perform A/R follow-up work through phone calls, appeals, claim corrections and re-files as needed to resolve A/R balances
Document accurate collection activity for reporting and tracking
Knowledge of insurance plans and patient payment options available
Understands how to read the patient’s ledger and correct reassignment of coinsurance, co-payments, and deductibles to the patient.
Answer incoming calls on or before the third ring
Follows patient balance protocol and provides support with patient questions, and requests and assists patients with creating payment plans and/or taking credit card payments
Gather, analyze, and communicate monthly accounting summaries and closing reports for management and client review and communicate to client in a timely manner
Familiarity with RBS Revenue Cycle Structure - Clients and Physicians
Stays current on training processes and developments within the company
Reviews processes and provide suggestions for process improvements and efficiencies
Learn radiation oncology-specific CPT codes, terminology, payer trends and billing requirements
Perform additional duties as assigned by management