Offer summary

Qualifications:

High School Diploma required., 1 year of experience with Medicare, Medicaid, and other commercial payers (HMO, PPO)., 1 year of experience in healthcare registration, collections, billing, or insurance., Knowledge of HIPAA and strong organizational, written, and communication skills..

Key responsabilities:

Maintain a high volume of inbound calls and respond to billing inquiries.

Negotiate payments on patient account balances and communicate financial policies to patients.

Ensure accuracy and confidentiality in handling medical records in compliance with regulations.

Adhere to production standards and perform other duties as assigned by the manager.

Job description

ESSENTIAL DUTIES AND RESPONSIBILITIES:
• Maintain a high volume of inbound calls,
• Researching and responding to billing questions and inquiries.
• Negotiating payments on patient account balances, and communicates hospital financial policies to patients and identifies patients who need financial assistance.
• Adhere to the production standards set for the department and client
• Accuracy and confidentiality in handling medical records in compliance with HIPPA, Federal, State and Company requirements
• Other duties as assigned by manager

THE IDEAL CANDIDATE WILL HAVE PREVIOUS EXPERIENCE:
• Working in a hospital and call center environments,
• Retains thorough understanding of insurance, and follow-up to secure reimbursement of claims.

KNOWLEDGE, SKILLS & ABILITIES:
• Must be able to read and interpret an EOB
• Self-motivated, self-directed with strong organizational, written and communication skills
• Working knowledge of HIPAA
• Knowledge of Medicare, Medicaid
• Knowledge of other contract payers (HMO, PPO)• Exceptional organizational skills and attention to detail required
• Intermediate computer skills using Microsoft Word, Excel
• Communication that demonstrates the ability to deliver a concise message with clear receptivity
• Sensitivity to our client’s needs and matching our performance to deliver results

QUALIFICATIONS:
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, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions

Education and Experience:
• High School Diploma
• 1 year experience working with Medicare, Medicaid, and other commercial payers (HMO, PPO)
• 1 year of healthcare registration, collections, billing or insurance experience
• Epic preferred
• CPAR, CHAA and CFC Certifications preferred

PHYSICAL SKILLS:
While performing the duties of this job, the employee is occasionally required to stand or walk and lift and/or move up to 25 pounds. Also, may be required to use hands to finger, handle or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; see, talk and hear.

WORK ENVIRONMENT:
Work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Incumbent/employee works in a temperature-controlled office environment. Incumbent/employee must be able to work on a computer for the scheduled shift; answers and makes telephone calls using a standard or computer soft telephone; types on a standard keyboard; reads and comprehends information from a computer terminal and/or written resources and utilizes multiple screens and systems simultaneously. All incumbents/employees are provided a Webcam and are required to on camera 100% of the time during the scheduled shift.