Patient Financial Services Advisor I jobs in United States
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Physicians East · 1 month ago

Patient Financial Services Advisor I

Physicians East, P.A. is a team of skilled healthcare professionals dedicated to providing quality healthcare in Eastern North Carolina. The Patient Financial Services Advisor I is responsible for managing patient accounts receivable, resolving inquiries, and negotiating payment plans while ensuring compliance with relevant laws and regulations.

Health CareMedicalOncologyPrimary and Urgent Care

Responsibilities

Make outgoing phone calls to patients to secure acceptable payments, payment arrangements, and or obtain necessary medical billing insurance information
Receive incoming phone calls from patients to discuss statements and collect payments
Review daily/weekly reports and update accounts accordingly
Prepare and present reports on collection activities and process -when requested
Track and monitor outstanding accounts receivable balances for determination of next steps in the medical collections process
Provide clear communication and excellent customer service on collection issues to patients, and internal business associates (physicians, office staff, management, etc.)
Updating the practice management billing system to identify actions that have been taken on the account
Adhering to the Fair Debt Collection Practices Act (FDCPA) and all applicable HIPAA, state/National laws governing the collection of outstanding medical accounts receivable
Processing patient financial assistance discount applications, using established Federal Poverty Guidelines
After investigation, resubmit claims or submit corrected claims
Write and submit denials to third party payers
Negotiate and advise on collection of overdue bills and take appropriate action to recover overdue payments
Responsible for developing, implementing, maintaining, and managing organization policies on collection practices
May work with legal counsel regarding more complex collection cases
Completes work request timely and in accordance with instruction and production goals
Performs all the tasks necessary to maintain current and accurate account information in each of the appropriate systems (i.e., entering notes, claims on hold)
Brings problems and troubling accounts, as well as related questions, to his/her immediate supervisor's attention daily
Perform other duties/projects as assigned by management

Qualification

Medical patient collectionsElectronic Medical Record (EMR)Practice management systemMedicare/Medicaid knowledgeFair Debt Collection Practices ActICD-9 / CPT codingAnalytical skillsProblem-solving skillsCommunication skillsInterpersonal skillsOrganizational skillsTime management skills

Required

High school diploma or equivalent
At least 2-3 years of relevant experience in medical patient collections within a hospital or healthcare practice
Clear, professional communication skills, specifically telephone voice and technique
Experience with an Electronic Medical Record (EMR) and practice management system
Proficiency utilizing Microsoft Office suite of products
Strong analytical and research skills
Problem-solving and critical-thinking skills
Ability to submit appeals with supportive medical documentation
Ability to apply correct deductible, co-insurance, co-payment
Ability to apply correct benefits for Par, non-par provider, single case agreement
Excellent communication and interpersonal skills, both verbal and written
Ability to establish and maintain effective working relationships with patients, employees, and the public
Must be well organized, detail-oriented and have good time management skills

Preferred

Associate's/Bachelor's degree
Knowledge of Medicare/Medicaid and major insurance carriers
Working knowledge of the Fair Debt Collection Practices Act (FDCPA)
Working knowledge of ICD-9 / CPT medical coding and billing, and Medical terminology

Company

Physicians East

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Physicians East is a medical practice company providing women's health, urgent care, and cancer care.

Funding

Current Stage
Late Stage

Leadership Team

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Kim Sugg
Chief Financial Officer
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Company data provided by crunchbase