Patient Financial Services Advisor I

Physicians East•Greenville, NC

5d•Onsite

About The Position

The Patient Financial Services Advisor I is responsible for the research, investigation, and resolution of outstanding medical patient accounts receivable. The Patient Financial Services Advisor I is also responsible for communication and resolution of patient inquiries and negotiate payment plans; distribute and monitor calls requiring additional research, receiving payment, and posting amount to customer's account; preparing statements to credit department if customer fails to respond; and keeping records of collection and status of accounts. The Patient Financial Services Advisor I assist with maintaining assigned accounts receivables at appropriate levels. The Patient Financial Services Advisor I contact patients and insurance department on delinquent accounts.

Requirements

High school diploma or equivalent; Associate’s/Bachelor’s degree is preferred.
At least 2-3 years of relevant experience in medical patient collections within a hospital or healthcare practice required.
Clear, professional communication skills, specifically telephone voice and technique.
Experience with an Electronic Medical Record (EMR) and practice management system is required. Proficiency utilizing Microsoft Office suite of products.
Knowledge of Medicare/Medicaid and major insurance carriers preferred.
Working knowledge of the Fair Debt Collection Practices Act (FDCPA) preferred.
Working knowledge of ICD-9 / CPT medical coding and billing, and Medical terminology preferred.
Strong analytical and research skills.
Problem-solving and critical-thinking skills
Ability to submit appeals with supportive medical documentation.
Ability to apply correct deductible, co-insurance, co-payment.
Ability to apply correct benefits for Par, non-par provider, single case agreement.
Excellent communication and interpersonal skills, both verbal and written.
Ability to establish and maintain effective working relationships with patients, employees, and the public.
Must be well organized, detail-oriented and have good time management skills.

Responsibilities

Make outgoing phone calls to patients to secure acceptable payments, payment arrangements, and or obtain necessary medical billing insurance information.
Receive incoming phone calls from patients to discuss statements and collect payments.
Review daily/weekly reports and update accounts accordingly.
Prepare and present reports on collection activities and process -when requested
Track and monitor outstanding accounts receivable balances for determination of next steps in the medical collections process.
Provide clear communication and excellent customer service on collection issues to patients, and internal business associates (physicians, office staff, management, etc.).
Updating the practice management billing system to identify actions that have been taken on the account.
Adhering to the Fair Debt Collection Practices Act (FDCPA) and all applicable HIPAA, state/National laws governing the collection of outstanding medical accounts receivable.
Processing patient financial assistance discount applications, using established Federal Poverty Guidelines.
After investigation, resubmit claims or submit corrected claims.
Write and submit denials to third party payers.
Negotiate and advise on collection of overdue bills and take appropriate action to recover overdue payments.
Responsible for developing, implementing, maintaining, and managing organization policies on collection practices.
May work with legal counsel regarding more complex collection cases.
Completes work request timely and in accordance with instruction and production goals.
Performs all the tasks necessary to maintain current and accurate account information in each of the appropriate systems (i.e., entering notes, claims on hold).
Brings problems and troubling accounts, as well as related questions, to his/her immediate supervisor's attention daily.
Perform other duties/projects as assigned by management.