Patient Resolution Specialist - Remote

Med-Metrix•Red Bank, NJ

3d•Remote

About The Position

The Patient Resolution Specialist manages a large volume of inbound and outbound calls in a timely manner, to patients of our client hospital and health systems, to secure payment of outstanding account balances, resolve account inquiries, and investigate and document status of these account activities. The Patient Resolution Specialist has ownership for effectively resolving patient inquiries and advancing payment of patient account receivables while keeping patient satisfaction at the core of every interaction.

Requirements

High school diploma or equivalent required
At least 5 years’ experience working in a related role, with at least 1 year experience working in an inbound/outbound call center environment
Strong working knowledge of the healthcare reimbursement process
Working knowledge of Microsoft Office applications
Strong interpersonal skills, ability to communicate well at all levels of the organization
Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
High level of integrity and dependability with a strong sense of urgency and results oriented
Excellent written and verbal communication skills required
Gracious and welcoming personality for customer service interaction
Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes.

Responsibilities

Manage a continuous and high volume of in-bound and out-bound calls from patients, health systems, and insurance carriers, while simultaneously navigating and updating numerous systems, to resolve patient accounts inquiries and collect payment
Attain payment of outstanding patient accounts through use of effective negotiation and customer service skills
Accurately records status of collection efforts in company and member systems
Research alternate insurance or payment options from various client resources available while navigating and updating multiple patient accounting systems.
Assess caller status to ensure the protection of patient privacy and compliance with State and Federal guidelines
Responsible for meeting monthly goals and quality standards through efficient and accurate work processes
Other duties as assigned
Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
Understand and comply with Information Security and HIPAA policies and procedures at all times
Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties