Patient Financial Services Rep- Must have Healthcare Billing, Insurance, Estimates and Patient Support experience

Carle Health•Olney, IL

17h•Onsite

About The Position

The Patient Financial Rep 1 is responsible for researching, resolving, documenting, and responding to inquiries related to hospital and professional accounts from patients, insurance companies, attorneys, public agencies, internal departments, employers, and third-party payers. This includes conference calls that have escalated between insurance companies and patients, looking for resolution of claims. Must maintain accurate and confidential records in compliance with HIPAA and organizational policies. Meet daily productivity and quality expectations and participate openly in departmental audit/review process to ensure that all work is monitored and completed based on departmental standards. Responsible for taking incoming calls, face to face interactions, and correspondence from patients and other third parties. Responsible for communicating the billing process, asking for payment on balances due including setting up payment arrangements, validating insurance coverage and addressing other billing concerns. Provides financial counseling for charity, presumptive eligibility screening, and assists with application process. Responsible for cash drawer balancing and daily deposit. Provides excellent customer service to patients regarding their financial obligations and billing concerns.

Requirements

Healthcare Billing experience
Insurance experience
Estimates experience
Patient Support experience

Responsibilities

Researches, resolves, documents, and responds to patient account inquiries generated from telephone, walk-in, virtual visits, MyCarle or written correspondence from external customers for Carle Health.
Identifies and resolves insurance coverage errors, registration errors and billing errors to facilitate accurate and timely billing and payment processing.
Identifies and reports account corrections needed for guarantor number changes (GNC's) double registrations, and other account build issues in the practice management system.
Resolves patient underpayments, no payments, overpayments and undistributed payments for proper allocation.
Process one-time payments and set up payment plans in accordance with hospital guidelines.
Performs financial counseling, conducts charity screening through Experian, and assists patients in the process of applying for Carle Financial Assistance program.
Responsible for cash drawer balancing and daily deposit.
Maintain confidentiality and comply with HIPAA regulations. This includes reporting potential HIPAA breaches and Identity Theft.
Recommend an adjustment when applicable or recommend a refund for overpayments to insurance carriers or patients, providing the appropriate documentation.
Provides customer service for patients and insurance companies on conference calls.
Identify problem accounts and escalate as appropriate.
Responsible for meeting and exceeding departmental productivity quality assurance standards, and service excellence.
Provide excellent customer service.
Performs other duties as assigned.
Collaborate with internal departments (insurance teams, charging, collectors, financial assistance, patient care, patient access, and coding) to resolve account discrepancies.