Patient Service Specialist

Dec 19
Contract
Bellaire, Texas

Patient Service Specialist                   

Bellaire, TX

 

Overview:

USPRO is looking for a proven Patient Service Specialist to work with a healthcare client of ours in the Bellaire, TX area. This individual will answer telephone calls, assess needs and determine appropriate actions for account resolution.

 

Employment type: Contract
(100% remote after onsite training)

Duration: 3 months+

Openings: 2

Shifts: 8:00am-5:00pm

 

 

 Responsibilities:
Responsibility A: Answers telephone calls, assesses needs and determines appropriate actions for account resolution.
• Answers telephone calls promptly and courteously and thoroughly assesses needs, complaints and/or concerns of the inquirer. Verified via random monitoring of calls, customer feedback and account documentation review.
• Logs in and out consistently of the Call Management System and maintains an average hold time no longer than 1:30 minutes. Verified by monthly reports.
• Receives a percentage of the incoming calls and affects appropriate call resolution as demonstrated by monthly productivity reports. Percent of calls will be adjusted based on staffing numbers.
• Performs the necessary investigation and takes the appropriate action necessary to resolve an account (i.e. refund requests, review of charges, rebill, courtesy discount or collection of additional funds from the guarantor) and follows up with no more than five errors/occasions per year as documented by random Management review.
• Updates the appropriate systems with comprehensive documentation of issue resolution or status.

Responsibility B: Accepts payment arrangements through telephone calls and in person with guarantors or patients
• Accepts payment arrangements that are mutually acceptable by the Hospital and guarantor, parent and/or patient as specified in departmental guidelines.
• Services the patients or guarantors that visit the Business Office as evidenced by the walk-in log monthly.
• Updates the appropriate systems with comprehensive documentation of payment arrangements as reviewed by Management using a random sampling of accounts of as a result of a focus review.
• Collects the first payment while setting up the payment plan in at least 90% of the plans set up.

Responsibility C: Processes credit card payments promptly and accurately.
• Takes verbal credit card payments via phone calls and in person from guarantors or other patient representatives for outstanding accounts.
• Follows departmental policies for accepting and processing credit card payments for outstanding accounts.
• Reconciles cash drawer daily per departmental processes.
• Adheres to the policies and procedures regarding regulatory guidelines for appropriate processing, handling, and storage of credit card information.

Responsibility D: Updates, maintains and documents patient account information accurately in the appropriate hospital’s accounting/billing systems.

Responsibility E: Actively participates in special assignments, programs, or improvement initiatives with successful outcomes.

Responsibility F: Initiates contact with guarantors or third party payors when necessary to collect on outstanding guarantor receivables.

Responsibility G: Analyzes and determines accounts to transfer to External Agency for additional collections follow up.




 

 

Qualifications:

  • H.S. Diploma or Equivalent- Required;
  • 2 years customer service, business experience, preferably in healthcare environment , Standard ADA Settings
  • Epic experience (at least 2 years); someone knowledgeable in registration, payment processing and claim filing
  • Knowledge of government, commercial and managed care guidelines
  • Call center experience; fast pace and high call volume
  • Ability to articulate why a patient is receiving a bill
  • Ability to communicate effectively both oral and written
  • Decision making skills
  • Professional and courtesy
 

Additional Notes:

  • The position is in the customer service department where the employee will assist callers resolve any billing issues or questions they may have regarding their statement
  • This position is 100% remote (after onsite training)
     

SUBMIT RESUME

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