Job description

Essential Duties and Responsibilities:
Responsible for supporting the Revenue Cycle Management Team Leads, Managers, and Directors with insurance and patient accounts receivable. Responsible for reviewing all assigned accounts within a timely manner, maintaining metrics that fall within the expectations set by organizational leadership and based on national benchmarks. Must maintain a comprehensive understating of the health insurance market, specific plan requirements, and standard payment options. Required to communicate with patients, colleagues, and third parties such as insurance companies, in a way that is perceived as thorough and clear. Possesses ability to communicate with and educate patients regarding their financial responsibility and payment options. Responsible for creating payment arrangements and collecting payments as needed (non-covered services, self-pay, co-pays, deductibles, and/or co-insurance) and recording transactions in the practice management system. Required to assist with ad hoc reporting requests and projects as assigned.
Key Tasks and Responsibilities

• Review and adjudicate all assigned claims in a timely manner
• Communicate effectively with clinic staff when needed
• Interact with and counsel patients in person and via telephone in a professional manner regarding their insurance plan, payments and other relevant financial issues
• Possess detailed understanding of insurance company protocols and managed care contracts
• Must be knowledgeable in IDC and CPT coding; and stay well-informed of industry changes
• Provide exceptional customer service by taking calls from patients, answering questions, problem-solving, and assisting with concerns and complaints in a timely manner
• Communicate clearly with and accommodate all patients, customers, and insurance companies making a concerted effort to positively resolve insurance matters
• Manage incoming phone calls, voicemails and emails; maintain a 24-hour turnaround time
• Comply with all organizational policies and procedures including punctuality, attendance and dress code
• Exhibit exceptional customer service qualities at all times with patients, customers, team members, staff and insurance companies
• Ensure confidentiality and maintain the highest regard for patients’ records and physicians’ information professionally and in compliance with local, state and federal mandates

Experience
Required

• Problem solver and ability to work independently with minimal supervision
• Excellent verbal and written communication skill
• Effective in providing exceptional customer service to patients and colleagues
• 4 year(s): Healthcare financial operations

Preferred

• Billing or Coding Certification Preferred

Education
Required

• High School or better

Preferred

• Associates or better

Licenses & Certifications
Preferred

• Certified Pro Biller
• Certified Pro Coder

Skills
Required

• Telephone skills
• Medical terminology
• Medical knowledge
• Identifying problems
• HIPAA
• Good problem-solving and analytical skills
• Good communication skills
• Electronic medical records
• Data entry
• Critical Thinking
• Computer skills

Preferred

• Expressing ideas
• Multi-tasking
• Listening attentively
• Account reconciliation
• Customer service skills
• clerical skills

Behaviors
Required

• Dedicated: Devoted to a task or purpose with loyalty or integrity
• Innovative: Consistently introduces new ideas and demonstrates original thinking
• Functional Expert: Considered a thought leader on a subject
• Team Player: Works well as a member of a group
• Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well

Motivations
Required

• Self-Starter: Inspired to perform without outside help

Preferred

• Work-Life Balance: Inspired to perform well by having ample time to pursue work and interests outside of work
• Flexibility: Inspired to perform well when granted the ability to set your own schedule and goals
• Financial: Inspired to perform well by monetary reimbursement

Job Type: Full-time

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