Employer: Change Healthcare
The Patient Services Representatives are responsible for communicating by phone with patients and insurance companies for the purpose of collecting and managing accounts receivable. They ensure the timely receipt of claims payments and minimize bad debt accrual and are responsible for collection activities through efficient, effective communication and resolution of the outstanding accounts receivable balance.
The work schedule is Monday-Friday, 9:30am-6pm Eastern. This is a remote position, and a high speed internet connection is required.
What Will Be My Duties And Responsibilities In This Job?
- Handles patient and insurance inquiries associated with specific patient accounts, including identification and resolution of billing discrepancies when reviewing the account.
- Effectively communicates with inbound and outbound guarantors/patients or insurance companies as to the status of the account and answers questions or inquiries efficiently.
- Adheres to HIPAA, PCI, and Change Healthcare Policies and Procedures.
- Answers inbound and makes outbound calls in a fast-paced environment; handles difficult situations while maintaining quality customer service and expected.
- Responsible for working self-pay or insurance receivables and related payments for the client. Effectively work accounts receivable to optimize cash flow and to meet organizational financial goals and objectives.
- Establishes budget plans or payment arrangements with established guidelines and policies.
- Accurately documents all follow-up activities pertaining to each specific account in the CHC Workflow tool(s) concisely, completely and/or takes action in the client system as directed.
- Handles escalation calls/accounts as necessary and appropriately de-escalates call to ensure patient/client satisfaction.
- Accepts special projects, assignments and instructions in a professional manner, and sees them through to completion of identified goals.
- Performs tasks conscientiously and thoroughly while adhering to established goals and objectives.
- Responsible for updating patient demographics and insurance information.
- Responsible for working correspondence, edits and aged account receivable and identifying problem accounts to CHC leadership.
- Responsible for resolving and/or appealing denials and rejections. Responsible for identifyingbilling/system/collectionsissues or trends and reporting them to management.
- Assists other representatives with client or procedural related questions.
- Meets productivity and accuracy standards as established by management.
- Other duties as assigned by the Change Healthcare Leadership members.
What Are The Requirements Needed For This Position?
- High School diploma or equivalent.
- 1+ year of medical revenue cycle experience. Experience with patient information/claims system reimbursement processes.
- Thorough knowledge and understanding of healthcare billing and collection practices and methodologies in an automated environment. Knowledge of healthcare billing and/or collections practices.
- Working knowledge of insurances and general reimbursement types: PPO, HMO, Indemnity, Medicare, Medicaid, Workers’ Compensation.
- Must possess excellent customer service and communication skills along with good math skills, ability to read, understand and follow verbal and written instructions.
- Must possess basic computer skills (internet navigation, Microsoft Outlook, Microsoft Word and Microsoft Excel).
What Other Skills/Experience Would Be Helpful To Have?
- Dependability
- Professional phone etiquette
- Ability to multi task in a fast-paced environment
- Negotiation and problem solving skills
- Time management and organizational skills
- Display a positive attitude
- Effective written and oral communication skills
- Strong interpersonal skills.
What Are The Working Conditions And Physical Requirements Of This Job?
- Sitting for long periods of time.
- Prolonged use of the phone.
Join our team today where we are creating a better coordinated, increasingly collaborative, and more efficient healthcare system!