The Patient Account Follow Up Specialist supports team goals, values and philosophy by exhibiting the following behaviors: excellence, quality service, commitment and accountability. As a member of the team, performance includes demonstration of the following accountabilities: communication, teamwork and job knowledge.
POSITION SUMMARY
The Patient Account Follow Up Specialist is responsible for all facets of patient billing and collection. The primary duties include but are not limited to verifying insurance coverage, following up on unpaid balances, answering patient questions regarding their balances, submitting claims and statements, and performing all other functions associated with accounts receivable management.
ESSENTIAL FUNCTIONS include the following:
• Receives incoming patient calls
o Reviews patient accounts to determine the patient responsibility amount
o Informs patients of payment options.
o Add and/or update patient’s current insurance and billing information
o Process individual statements as requested by patients
• Monitors and follows-up on self-pay balances and makes appropriate payment arrangements
• Submits necessary documents to outside collection agency
• Troubleshoots and resolves computer related issues with any of the patient billing processes
• Maintains confidentiality of patient and company information
• Maintains knowledge of and follows policies, procedures, Code of Conduct, and all Federal and state rules and regulations related to the position.
• Reacts productively to change
• Completes all required compliance training.
• Duties and responsibilities may be added, deleted, or changed at any time at the discretion of management, formally or informally, either verbally or in writing.
SUPERVISORY RESPONSIBILITIES
None
KNOWLEDGE, SKILLS, & ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• Familiarity with deductibles, contractual adjustment, insurance plans, and procedures
• Good problem solving and analytical skills
• Detail oriented with strong organizational and follow-up skills
• Good interpersonal and customer service skills
• Good computer skills
• Ability to adapt to changing insurance regulations
• Ability to discuss collections with patients in a confident manner
• Ability to speak, read, and write in English
• Ability to effectively communicate both orally and in writing
• Ability to operate standard office equipment
• Ability to concentrate, think, and learn
• Ability to hear, see, sit, stoop, kneel, crouch, reach, lift, push, and pull.
EDUCATION AND/OR EXPERIENCE
High School diploma or equivalent is required; a minimum of one (1) year experience in medical billing and collections is preferred; medical insurance knowledge is required; and/or equivalent education or experience in job related activities is required.