Patient Financial Services jobs in United States
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LanceSoft, Inc. · 22 hours ago

Patient Financial Services

LanceSoft, Inc. is seeking a Patient Financial Services professional responsible for follow-up and collections related to worker compensation and insurance balances. The role involves verifying claims, managing desk inventory, and ensuring compliance with various payer programs.

Information Technology
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Growth Opportunities
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H1B Sponsor Likelynote
Hiring Manager
Nisha Kiran Tirkey
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Responsibilities

Responsible for all aspects of follow-up and collections, must have worker comp experience, insurance balances, including making telephone calls and accessing payer websites. Identify issues or trends and provide suggestions for resolution. Accurately and thoroughly documents the pertinent collection activity performed. Review the account information and necessary system applications to determine the next appropriate work activity. Verify claims adjudication utilizing appropriate resources and applications. Initiate telephone or letter contact with patients to obtain additional information as needed. Perform appropriate follow-up functions, including manual resubmissions and electronic attachments to payers. Manage and maintain desk inventory, complete reports, and resolve high-priority and aged inventory
Participate and attend meetings, training seminars, and in-services to develop job knowledge. Participate in the monthly, quarterly, and annual performance evaluation process with the supervisor. Respond timely to emails and telephone messages as appropriate. Communicate issues to management, including payer, system or escalated account issues
Maintains information or operational records; screens report for completeness and mathematical accuracy; lists, abstracts, or summarizes data; compiles routine reports from a variety of sources
May, as a secondary responsibility, interpret abstracts, orders, notes, invoices, permits, licenses, etc.; compute and receive fees when the amount is not in question or is readily obtainable from fixed schedules; post data; and prepare reports in accordance with pre-determined forms and procedures
Prepares documents for collection of revenues from third party payer programs; checks and verifies charge rates for services; reconciles account balances and verifies payments
Reviews billing documents to assure program compliance for Worker Comp, Medicare, Medi-Cal, Mental Health, and insurance programs; assures that all appropriate medical documentation is submitted timely

Qualification

Worker Comp experienceInsurance billingClaims adjudicationData analysisCommunication skills

Required

Responsible for all aspects of follow-up and collections
Must have worker comp experience
Experience with insurance balances
Making telephone calls and accessing payer websites
Identify issues or trends and provide suggestions for resolution
Accurately and thoroughly documents the pertinent collection activity performed
Review the account information and necessary system applications to determine the next appropriate work activity
Verify claims adjudication utilizing appropriate resources and applications
Initiate telephone or letter contact with patients to obtain additional information as needed
Perform appropriate follow-up functions, including manual resubmissions and electronic attachments to payers
Manage and maintain desk inventory
Complete reports and resolve high-priority and aged inventory
Participate and attend meetings, training seminars, and in-services to develop job knowledge
Participate in the monthly, quarterly, and annual performance evaluation process with the supervisor
Respond timely to emails and telephone messages as appropriate
Communicate issues to management, including payer, system or escalated account issues
Maintains information or operational records
Screens report for completeness and mathematical accuracy
Lists, abstracts, or summarizes data
Compiles routine reports from a variety of sources
Prepares documents for collection of revenues from third party payer programs
Checks and verifies charge rates for services
Reconciles account balances and verifies payments
Reviews billing documents to assure program compliance for Worker Comp, Medicare, Medi-Cal, Mental Health, and insurance programs
Assures that all appropriate medical documentation is submitted timely

Company

LanceSoft, Inc.

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Established in 2000, LanceSoft is a pioneer in delivering top-notch Global Workforce Solutions and IT Services to a diverse clientele.

H1B Sponsorship

LanceSoft, Inc. has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (55)
2024 (32)
2023 (23)
2022 (25)
2021 (60)
2020 (80)

Funding

Current Stage
Late Stage

Leadership Team

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Ram Karuppusamy
Chairman & CEO
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Simon Dealy
Chief Financial Officer
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Company data provided by crunchbase