Employer: Change Healthcare
Change Healthcare is a leading healthcare technology company with a mission to inspire a better healthcare system. We deliver innovative solutions to patients, hospitals, and insurance companies to improve clinical decision making, simplify financial processes, and enable better patient experiences to improve lives and support healthier communities.
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, 8:30am-5pm Eastern. This is a remote position, and a high speed internet connection and a quiet place to work are required. Change Healthcare equipment will be provided.
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 identifying billing/system/collections issues 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.
Diversity and Inclusion:
At Change Healthcare, we include all. We celebrate diversity and inclusivity, respect each other and value our unique experiences. By being our authentic selves, we bring different perspectives into our work and relationships.
Business Resource Groups (BRGs) play a central role in advancing diversity and inclusion at Change Healthcare. They deepen our understanding of different cultures, people, and experiences, and help foster an inclusive workplace. Change offers eight (8) BRGs.
COVID Vaccination Requirements
We remain committed to doing our part to ensure the health, safety, and well-being of our team members and our communities. As such, we require all employees to disclose COVID-19 vaccination status prior to beginning employment and, when job-related and consistent with business necessity, we may require periodic testing for certain roles. Some roles require full COVID-19 vaccination as an essential job function. Change Healthcare adheres to COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance.
Equal Opportunity/Affirmative Action Statement
Change Healthcare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status.
California (US) Residents: By submitting an application to Change Healthcare for consideration of any employment opportunity, you acknowledge that you have read and understood Change Healthcare’s Privacy Notice to California Job Applicants Regarding the Collection of Personal Information.
Change Healthcare maintains a drug free workplace and conducts pre-employment drug-testing, where applicable, in accordance with federal, state and local laws.
About Us
Careers Transforming the Healthcare System
Who is Change Healthcare? We are a leading technology company inspiring a better healthcare system. Through innovative technology solutions like cutting-edge cloud technology, artificial intelligence, and data insights, we drive better patient outcomes, reduce costs, and create value for our partners.
Positive Impact and Shared Purpose. Through visionary leadership and a culture of collaboration, we share a common purpose to positively impact our communities by creating a stronger, better coordinated, increasingly collaborative, and more efficient healthcare system.
Employee Experience, Cultural Values, and Total Rewards. We celebrate diversity and earn trust with our employees by promoting innovation at every level within the organization. Our teams are agile, and their work is fast paced and engaging. We’re committed to providing competitive compensation that rewards and recognizes performance, offer well-being programs that empower your overall health, and provide learning and development opportunities to accelerate your professional growth.
Find Your Path. Whether you’re ready to make an impact in technology and product innovation or support our mission to inspire a better healthcare system in a variety of career areas, find your path and accelerate your career.