Patient Service Representative

Avita Health System•Crestline, OH

4d•Onsite

About The Position

Avita Health System is seeking a Patient Service Representative for its Patient Financial Services Department at the Crestline location. The role helps ensure maximum and timely collection of health system receivables from patients who can pay, while identifying insurance or program coverage for which patients or families may qualify. This work includes exploring insurance and program benefits, providing financial education, meeting with patients, making outbound calls, discussing payment options, completing financial clearance, and collecting patient responsibility. The representative also helps people with limited resources identify and apply for assistance programs. The role serves as a primary source of information for patients, supports issue resolution through the Customer Service line, and is the main point of contact for patients after services are provided. The schedule is Monday through Friday, 8:00 a.m. to 4:30 p.m., for 80 hours per pay period.

Requirements

At least two years of experience in medical billing and follow-up and/or patient collections.
Knowledge and understanding of managed care payer rules and patient collection laws.
Basic medical terminology skills to read and interpret clinical documentation, with a basic understanding of procedure and diagnosis coding conventions.
Excellent oral and written communication skills.
Excellent conflict management and negotiation skills.
Mature, compassionate, customer-focused attitude and professional demeanor when dealing with patients, families, external customers and vendors, coworkers, and internal customers.
Strong computer skills, including hospital billing software and Microsoft Office applications.
Excellent organization and time management skills, with the ability to establish priorities effectively.
Knowledge of and compliance with applicable regulatory requirements, including HIPAA, Medicare Secondary Payer Screening, and billing and coding compliance rules.

Nice To Haves

AAHAM or HFMA certification, or active pursuit of certification.
Experience and knowledge working in an electronic medical record system; EPIC experience is preferred.
Associate’s degree in healthcare administration.

Responsibilities

Promote maximum and timely collection of health system receivables from patients able to pay.
Identify insurance or program coverage for which patients or families may qualify by exploring benefits and assistance programs.
Provide financial education and discuss financial matters with patients and families through meetings and outbound telephone contacts.
Complete financial clearance and collect patient responsibility.
Help patients with limited resources identify and apply for assistance programs.
Serve as a primary source of information for patients and help resolve issues through the Customer Service line.
Serve as the main point of contact for patients after services are provided.
Conduct all activities in accordance with regulatory compliance requirements, including HIPAA, Medicare Secondary Payer Screening, and billing and coding compliance rules.