Revo Health · 1 day ago

Patient Financial Services Specialist - Revo Health

Bloomington, MN

Full-time

Remote

Entry Level

Maximize your interview chances

Health CareOutsourcing

Insider Connection @Revo Health

Discover valuable connections within the company who might provide insights and potential referrals.
Get 3x more responses when you reach out via email instead of LinkedIn.

Responsibilities

Ensure professional communication with patients, clinic personnel, and outside vendors over the phone, via email or other written documentation and respond to all inquiries

Maintain a working knowledge of health care plan requirements and health plan networks

Verify and document insurance information as defined by current business practices

Accurately post all payments received from patients, attorney offices and/or insurance companies

Review Explanation of Benefits (EOB), research denials, rejections and/or excessive reductions

Ensure appropriate forms are used when requesting adjustments, insurance transfers or other specific account changes

Prepare, submit and ensure timely claim accuracy for all physician billing to third party insurance carriers either electronically or via hard copy

Make outbound phone calls to patients or insurance companies as follow up to unpaid, denied or rejected billing claims and document according to current policy

Take inbound calls from patients or insurance companies as follow up to unpaid, denied or rejected billing claims and document according to current policy

Review and work any credit balances to determine if patient and/or insurance company refund is applicable

Any and all other duties as assigned

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Accounts ReceivableBilling PracticesInsurance VerificationHIPAA Compliance

Required

High School diploma/GED or equivalent

Previous experience in a healthcare facility in relation to accounts receivable or billing practices preferred

Ability to comply with company policies, procedures, practices and business ethics guidelines.

Ability to complete job required training.

Ability to comply with all applicable laws and regulations, (e.g. HIPAA, Stark, OSHA, employment laws, etc.)

Ability to demonstrate prompt and reliable attendance

Ability to work in the office during business hours

Ability to travel independently throughout the office (which may include movement from floor to floor); frequent bending, lifting, standing, stooping or sitting for long periods of time may be required

Ability to work at an efficient and productive pace, handle interruptions appropriately and meet deadlines

Ability to communicate and interact in a respectful and professional manner

Ability to prioritize workload while being flexible to meet the expectations of the daily operations

Ability to apply principles of logical thinking to define problems, establish facts, and draw valid conclusions

Ability to understand and execute a variety of instructions

Ability to effectively operate equipment and communicate on and operate the phone system

Ability to work independently with minimal supervision

Ability to travel to other work locations, if required