Role Description
Work from Home as a Patient Financial Services Specialist with EmergeOrtho! EmergeOrtho is committed to being the trusted leader in innovative, quality-focused comprehensive musculoskeletal care. With offices across North Carolina, we’re currently seeking a detail-oriented and compassionate Patient Financial Services Specialist to join our team. The Patient Financial Services Specialist assists patients with questions and concerns regarding medical 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 of Self-Pay balances.
-
Authorized to work out settlements within guidelines and approve the movement of patient balances within the system.
-
Works with patients, Revenue Specialists, Third Party Payers, and the practices to maximize collections.
-
Must use independent judgement on the prioritization of assigned tasks.
Qualifications
-
High school diploma or equivalent.
-
Minimum two years’ experience in financial services, healthcare or medical practice setting preferred.
Responsibilities
-
Understand the entire revenue cycle and resolve claims regardless of where they appear in the cycle.
-
Communicate with patient/guarantors by telephone to secure payment on the outstanding balance by the guarantor.
-
Verify, obtain, and update patient and guarantor demographic information, insurance packages, case policies, and/or documents necessary for resolution of account.
-
Record payment information as presented by patient/guarantor.
-
Manage Self-Pay Account Worklists through proactive patient calls.
-
Document all patient communications (verbal & written) in the Patient Account View.
-
Manage Pre-Payment and Payment Plans in compliance with pre-defined parameters outlined in organization’s patient financial policies.
-
Work Patient Correspondence in Correspondence dashboard.
-
Perform financial counseling by providing patients high level customer service regarding balance origination, balance/claim(s) resolution, pre-payment and/or payment plans, and applications for assistance.
-
Manage credit card contracts.
-
Report on aged AR based on need, and trend increases and impact of seasonal activities; preparation of reports in Excel as needed or requested.
-
Serve as liaison between patient, AR Specialists, physicians, physician staff, and Reception staff as needed internally; guarantor or payers externally as needed.
-
Review, research or communicate with Practice Management or VBO as necessary regarding any questionable accounts or issues presented by patient/guarantor.
-
Work assigned Collection Worklist on the prescribed schedule.
-
Create Self-Pay adjustments per organizational financial policies.
-
Initiate and follow through on patient refund requests based on the organizational financial policies.
-
Perform other duties as required and assigned by Manager, including schedule changes and travel to office locations as assigned.
Benefits
-
Hiring Immediately - Start your journey with us right away!
-
Flexible Schedule - Designed to fit your lifestyle and promote work-life balance.
-
Remote Work Environment - Work comfortably from home while staying connected to a dedicated and collaborative team.