Patient Service Representative
Unified Women's Healthcare - NY Unified Women's Healthcare - NY Westbury, NY Westbury, NY Full-time Full-time $50,000 - $55,000 a year $50,000 - $55,000 a year 3 days ago 3 days ago 3 days ago Job Title:
Patient Service Representative Reports to:
Revenue Cycle Manager
Summary:
The Patient Service Representative assists patients with questions and concerns regarding professional billing in a prompt and courteous manner by performing account research, balance verification, patient support, and verification of billing and policy compliance.
Responsible for all activity related to collection and reportingof Self-Pay balances.
Is authorized to create payment plans, pre-payment plans, send statements/explanation of benefits, approve the movement of patient balances within the system.
Works with the patients, Revenue Specialists, Third Party Payers, and the Care Centers practices to maximize collections.
Must use independent judgement on the prioritization of assigned tasks.
Job Responsibilities include, but are not limited to:
oCommunicate with patient/guarantors by telephone and email in an attempt to secure payment on the outstanding balance by the guarantor.
oVerify, obtain, and update patient and guarantor demographic information, insurance packages, case policies, and/or documents necessary for resolution of account.
oFacilitation of assigned Self-Pay Worklists through proactive patient balance calls and lettering campaigns, as well as claim reconciliation with payer as it relates to self-pay correction/review oRecord payment information as presented by patient / guarantor for processing, as well as communication to patient regarding declined/bounced payments Address all Collection related inquiries by both patient, Care Center, Management, and Collection Agency oPrepare and mail of any patient balance notification letters on the specified timelines oNotation in the Patient Account View of all patient communication both verbal and written as it pertains to general account inquiries; a copied note in the specified claim if applicable oCreate and monitor of Payment Plans, Pre-Payment Plans, and Credit-Card-On-File in compliance with pre-defined parameters outlined inorganization's patient financial policies oReceipt and acknowledgement of returned mail (through both Athena and USPS to CBO) and bankruptcy notices, with prompt associated activities per organizations policy oAssist all patients with an extraordinarily high level of customer service with their questions regarding balance origination, resolution, payment plans and applications for assistance.
Assist in navigating patient to appropriate party with minimal call-backs/transfers by understanding purpose of call and routing requirements.
oResearch EOBs, print statements, or prepare ad-hoc documentation to assist patients, Care Centers, Third Party vendor (Insurance or Collection Agency) or Management in balance collection challenges as needed oReport on aged AR monthly and based on need, and trend increases and impact of seasonal activities; preparation of reports in Excel as needed or requested oCoordination between patient, any Care Center and/or CBO Service Line, as needed internally; guarantor, payers, collection agency externally oReview, research or communicate with Practice Management, RCM Manager, or appropriate CBO Department as necessary regarding any questionable accounts or issues presented by patient / guarantor oTrack trends of patient inquiries/feedback to assist Revenue Specialists in providing Care Center education that will improve self-pay processes oRun quarterly Front Lines Forum to maximize Care Center ability to improve self-pay workflows oMaximize Patient Financial Experience by analyzing trends, brainstorming with Revenue Cycle Team and additional Service Lines, and streamlining processes to promote more efficient workflows oAssist Revenue Cycle Manager in month-end reporting, providing content for Care Center Communications, and/or additional tasks as requested.
oFacilitate assigned Collection Worklists to include timely running of the report on the prescribed schedule, delivery to the physician in the preferred method, kicking remaining patient claims to COLLECT status oAdjustment to bad debt versus collection, adjustment for other reasons as approved, and completion of patient turnover to collection agency oInitiate and follow through on patient refund requests based on the organization's internal policy Qualifications, Skills and Knowledge Required:
oAssociates Degree from an accredited university preferred oMinimum of 2 years' customer service experience oKnowledge of payer processes, local, state, and federal requirements oExcellent written and oral communication skills oOutstanding customer service skills oAdvanced knowledge of Microsoft Office oStrong organizational, problem solving and decision-making skills oAbility to prioritize and manage multiple projects and issues effectively and simultaneously oSelf-motivated and self-starter who can work well under minimal supervision oStrong attention to detail, research and follow up skills oAbility to work both independently and in a team setting oValid driver's license and reliable insured automobile required.
Job Type:
Full-time Pay:
$50,000.
00 - $55,000.
00 per year
Benefits:
401(k) AD&D insurance Dental insurance Disability insurance Employee assistance program Employee discount Health insurance Health savings account Life insurance Paid sick time Paid time off Paid training Parental leave Vision insurance Work from home Schedule:
Monday to Friday Work Location:
Hybrid remote in Westbury, NY 11590.
Estimated Salary: $20 to $28 per hour based on qualifications.
Patient Service Representative Reports to:
Revenue Cycle Manager
Summary:
The Patient Service Representative assists patients with questions and concerns regarding professional billing in a prompt and courteous manner by performing account research, balance verification, patient support, and verification of billing and policy compliance.
Responsible for all activity related to collection and reportingof Self-Pay balances.
Is authorized to create payment plans, pre-payment plans, send statements/explanation of benefits, approve the movement of patient balances within the system.
Works with the patients, Revenue Specialists, Third Party Payers, and the Care Centers practices to maximize collections.
Must use independent judgement on the prioritization of assigned tasks.
Job Responsibilities include, but are not limited to:
oCommunicate with patient/guarantors by telephone and email in an attempt to secure payment on the outstanding balance by the guarantor.
oVerify, obtain, and update patient and guarantor demographic information, insurance packages, case policies, and/or documents necessary for resolution of account.
oFacilitation of assigned Self-Pay Worklists through proactive patient balance calls and lettering campaigns, as well as claim reconciliation with payer as it relates to self-pay correction/review oRecord payment information as presented by patient / guarantor for processing, as well as communication to patient regarding declined/bounced payments Address all Collection related inquiries by both patient, Care Center, Management, and Collection Agency oPrepare and mail of any patient balance notification letters on the specified timelines oNotation in the Patient Account View of all patient communication both verbal and written as it pertains to general account inquiries; a copied note in the specified claim if applicable oCreate and monitor of Payment Plans, Pre-Payment Plans, and Credit-Card-On-File in compliance with pre-defined parameters outlined inorganization's patient financial policies oReceipt and acknowledgement of returned mail (through both Athena and USPS to CBO) and bankruptcy notices, with prompt associated activities per organizations policy oAssist all patients with an extraordinarily high level of customer service with their questions regarding balance origination, resolution, payment plans and applications for assistance.
Assist in navigating patient to appropriate party with minimal call-backs/transfers by understanding purpose of call and routing requirements.
oResearch EOBs, print statements, or prepare ad-hoc documentation to assist patients, Care Centers, Third Party vendor (Insurance or Collection Agency) or Management in balance collection challenges as needed oReport on aged AR monthly and based on need, and trend increases and impact of seasonal activities; preparation of reports in Excel as needed or requested oCoordination between patient, any Care Center and/or CBO Service Line, as needed internally; guarantor, payers, collection agency externally oReview, research or communicate with Practice Management, RCM Manager, or appropriate CBO Department as necessary regarding any questionable accounts or issues presented by patient / guarantor oTrack trends of patient inquiries/feedback to assist Revenue Specialists in providing Care Center education that will improve self-pay processes oRun quarterly Front Lines Forum to maximize Care Center ability to improve self-pay workflows oMaximize Patient Financial Experience by analyzing trends, brainstorming with Revenue Cycle Team and additional Service Lines, and streamlining processes to promote more efficient workflows oAssist Revenue Cycle Manager in month-end reporting, providing content for Care Center Communications, and/or additional tasks as requested.
oFacilitate assigned Collection Worklists to include timely running of the report on the prescribed schedule, delivery to the physician in the preferred method, kicking remaining patient claims to COLLECT status oAdjustment to bad debt versus collection, adjustment for other reasons as approved, and completion of patient turnover to collection agency oInitiate and follow through on patient refund requests based on the organization's internal policy Qualifications, Skills and Knowledge Required:
oAssociates Degree from an accredited university preferred oMinimum of 2 years' customer service experience oKnowledge of payer processes, local, state, and federal requirements oExcellent written and oral communication skills oOutstanding customer service skills oAdvanced knowledge of Microsoft Office oStrong organizational, problem solving and decision-making skills oAbility to prioritize and manage multiple projects and issues effectively and simultaneously oSelf-motivated and self-starter who can work well under minimal supervision oStrong attention to detail, research and follow up skills oAbility to work both independently and in a team setting oValid driver's license and reliable insured automobile required.
Job Type:
Full-time Pay:
$50,000.
00 - $55,000.
00 per year
Benefits:
401(k) AD&D insurance Dental insurance Disability insurance Employee assistance program Employee discount Health insurance Health savings account Life insurance Paid sick time Paid time off Paid training Parental leave Vision insurance Work from home Schedule:
Monday to Friday Work Location:
Hybrid remote in Westbury, NY 11590.
Estimated Salary: $20 to $28 per hour based on qualifications.
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