RCM Patient AR Inbound

Position Summary: Primary responsibilities include Responding to patient phone calls regarding billing inquiries. Effectively completes a variety of goal-oriented departmental tasks that will require adaptability, attention to detail and efficiency.

The successful candidate will report directly to the VP, Ops & Finance. The position location is flexible, but the placement must be willing to travel frequently.

Processes in-bound calls regarding billing inquiries and to explain insurance benefits, account balances and review/reconcile/adjust account

Scan all incoming mail/correspondence into patient files

Establishes patient payment schedule

Obtains verbal authorizations for credit card payments

Completes liability of waiver forms for manager review and signature

Focuses on reducing delinquent accounts and achieving maximum collections from patients

Works with CCS AP staff to obtain manufacturer’s invoices and provide them to external RCM group

Assist the handling of our automated patient billing platform

Assist in the handling of payments received from secondary payers

Maintains a high degree of confidentiality at all times due to access to sensitive information

Maintains regular, predictable, consistent attendance and is flexible to meet the needs of the department

Follows all Medicare, Medicaid, HIPAA, and Private Insurance regulations and requirements

Abides by all regulations, policies, procedures and standards

Exercises appropriate cost control measures

Maintains positive internal and external customer service relationships

Maintains open lines of communication

Plans and organizes work effectively and ensures its completion

Meets all productivity requirements

Demonstrates team behavior and promotes a team-oriented environment

Actively participates in Continuous Quality Improvement

Represents the organization professionally at all times

High school diploma or GED equivalent and one year call center experience or equivalent combination of education and experience

One year customer service or medical billing experience required. Preferably with a DME provider.

Proficient in Microsoft Outlook, Word, Excel, PowerPoint and computer literacy

Knowledge of government and commercial insurance payers as it relates to documentation of claims that are required before submission

Ability to understand Medical Records documents such as safety rules, operating and maintenance instructions, and procedure manuals

Ability to read and interpret Explanation of Benefit forms provided by payors

Position may require evening and weekend availability

Strong attention to detail, multi-tasking, communication, and organizational skills are essential

Demonstrated ability to accurately perform data entry and pay close attention to detail

Certainty-The lives of the individuals we serve depend on our ability to execute. We commit to doing this every day.

Use appropriate methods and a flexible interpersonal style to help build a cohesive and collaborative team based on a foundation of trust and transparency. Deliver what you commit to.

Compassion-We understand the burdens of patients and their loved ones and channel this into a relentless pursuit of customer satisfaction in every part of our business.

Ensure that the patient is the driving force behind business decisions, implementing service practices that meet needs of both the patient and the organization. Treat others the way you want to be treated.

Advancement-We are endlessly looking for ways to progress and become more innovative in all things we do.

Encourage innovative approaches for addressing opportunities and facilitating change, driving cross-functional alignment to accomplish goals. Speak the truth.