RCM Patient Service Representative

ALLERGY PARTNERS•Asheville, NC

6d•Onsite

About The Position

The Patient Services Representative is responsible for collection processes related to medical accounts within the Central Billing Office. This role involves proactively working assigned accounts to maximize accurate and timely payment from patients, while observing company policies and applicable laws. Familiarity with regulations regarding the collection of medical bills and patient balances is essential, as are exceptional internal and external customer service skills. The position requires strong and accurate data entry skills, the ability to coordinate patient payment arrangements, and record patient payments by phone, providing receipts upon request. The role also involves contributing to a team effort to accomplish individual and departmental goals, promoting the Allergy Partners culture, and involving the Patient Services Representative Team Lead when additional support is required. The position maintains patient confidentiality, complies with HIPAA and compliance guidelines, and requires detailed knowledge of practice management and other computer software. The representative must attend required training programs (OSHA, HIPAA, OIG, CPR, Information Security), meetings, and continuing education courses to stay current with the Healthcare industry. Additional duties may be requested by management.

Requirements

High school diploma or GED equivalent.
Healthcare or related experience required.
One to three years of experience in general office administration and previous collection experience.
Excellent communication skills, both written and oral.
Proficient computer skills including word processing, and data entry.
Familiar with Microsoft Office, Excel, and Outlook as email is an important communication tool.
Must have ability to communicate professionally and effectively with customers, management, and co-workers.
Work in a fast-paced office environment, and sit for long periods of time in front of computer while talking on the phone throughout entire workday.
Ability to handle daily stressful situations due to the nature of the job, as well as work independently and stay focused on task at hand.
Prioritize, problem solve, and multi-task.
Work closely with other staff to identify, resolve, and share information regarding patient payment trends and problem areas.

Nice To Haves

Ability to speak Spanish
Previous billing coding experience

Responsibilities

Monitor collection dollars by Hub to maximize productivity and reduce overall delinquent accounts.
Send correspondence to patients in delinquent status.
Answer/respond to calls and/or correspondence related to patient balances.
Analyze and interpret reasons for patient balances from EOB (deductible, co-insurance, co-payment).
Document all work and calls performed in database system.
Recordkeeping of collection and status of accounts.
Coordinate patient payment arrangements when possible.
Record patient payments by phone.
Provide receipt upon request.
Contribute a team effort by accomplishing individual/departmental goals to remain efficient and actively promote Allergy Partners culture.
Involve Patient Services Representative, Team Lead when additional support is required to perform job duties.
Maintains patient confidentiality; complies with HIPAA and compliance guidelines established by the practice to protect Central Billing Office operations by keeping information confidential.
Maintains detailed knowledge of practice management and other computer software as it relates to job functions.
Attends OSHA, HIPAA, and OIG training programs as required.
Attends all meetings as requested including regular staff meetings.
Attends Medicare and other continuing education courses as requested.
Pursue and participate in education to remain current with changes in the Healthcare industry.
Performs any additional duties as requested by management.
Completes all assigned AP training (such as CPR, OSHA, HIPAA, Compliance, Information Security, others) within designated timeframes.
Complies with Allergy Partners and respective hub/department policies and reports incidents of policy violations to a Supervisor/Manager/Director, Department of Compliance & Privacy or via the AP EthicsPoint hotline.