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Providence Anesthesiology Associates · 1 day ago

Patient Financial Services Representative

Charlotte, NC

Full-time

Hybrid

Entry, Mid Level

1+ years exp

Providence Anesthesiology Associates is an independent physician-owned practice providing anesthesia and perioperative care. The Patient Financial Services Representative is responsible for reviewing patient financial information, communicating with patients regarding their financial responsibilities, and assisting with insurance verification and financial assistance.

Health CareHospitalMedical

No H1B

Responsibilities

Reviews accounts to determine insurance coverage

Fields incoming calls and addresses all finance/billing related inquiries

Interviews the patient and/or responsible party to obtain any missing insurance information

Evaluate the need for financial assistance and discuss the patient’s financial responsibility

Responsible for the entry or update of insurance information on the patient’s account and assists in maintaining the insurance database

Refers account for insurance verification and benefit coverage to the Insurance Verification staff in a timely manner

Identifies patient with no third-party reimbursement and/or with financial assistance needs and communicates with the patient regarding potential sources for financial assistance

Makes timely referral to the medical eligibility agency to explore all available assistance and help in qualifying and filing for the eligible programs

Based upon the evaluation of ability to pay, collects from the patient or responsible party the patient portion, or establishes payment arrangements within the hospital guidelines

Properly documents all pertinent financial information and efforts in the account comments

Uses best judgment to resolve patient problems or refer issues to department supervisor

Remains current on knowledge of Medicare, Medicaid, Managed Care Contracts, and compliance regulations, as well as system and department processes. Complies with and supports department and organization policies and procedures

Responsible for the collection of payments or setting up payment plans prior to services being rendered, at time of admission, or during the discharge process

Seeks out relevant training or cross training from supervisor. Seeks out guidance from supervisor and teammates when uncertain of procedure. Solicits feedback from the supervisor to assess the quality and effectiveness of work. Participates in the dialogue process with supervisor regarding quality improvement. Demonstrates a personal commitment to continuous quality improvement through active participation

Other duties as assigned by Supervisor

Qualification

Patient accounting experienceInsurance verificationFinancial counselingMedical terminologyMedical billing softwareMicrosoft ExcelCustomer serviceOral communicationWritten communicationProblem-solvingTeam collaboration

Required

High School Diploma required

Minimum of one (1) to three (3) years of experience working with patient accounting, insurance verification and precertification, financial counseling, and medical terminology is required

Demonstrated ability to exercise professional oral and written communication skills with all internal and external audiences

Experience with medical billing software systems is required

Strong Microsoft Excel skills are required

Proficiency in Microsoft Outlook, Word, and PowerPoint is also required

Ability to organize and manage personal workload and the workload of assigned direct reports and associated teams

Ability to achieve and maintain strong working knowledge of anesthesia billing operation practices

Ability to analyze and assess the production effort of operations teams

Ability to work within an ambiguous, fast-moving environment, while driving toward clarity and solutions

Ability to make consider possible solutions and make decisions quickly

Ability to develop and execute corrective action plans

Preferred

An associate degree preferred

Previous experience in customer service, managing inbound calls, and patient collections within a healthcare setting is preferred

Benefits

Competitive total rewards including salary, benefits – Day 1, retirement, profit sharing, life insurance, paid time off, holidays, education reimbursement, employee recognition for birthdays and anniversaries, fun team building events, and more.