Patient Financial Recovery Specialist
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AI Summary
The specialist manages patient accounts by handling incoming and outbound calls to resolve outstanding balances and process payments. They are also responsible for investigating insurance benefits and evaluating patients for charity eligibility.
Role Description: The Patient Financial Recovery Specialist will provide customer service to hospital patients who have questions on their accounts and assist them in settling their patient responsibility balances.
Roles & Responsibilities
- Respond to incoming patient calls and initiate outbound calls to patients using our automated dialing system.
- Aid patients in managing their accounts, which includes arranging payment options for outstanding balances.
- Process credit card payments efficiently over the phone.
- Identify and gather updated insurance information.
- Investigate "Explanation of Benefits" from insurance providers to understand payment details and discrepancies.
- Evaluate patients for charity eligibility, address general inquiries, and resolve account-related issues and concerns.
- Seamlessly navigate multiple patient account systems and payment platforms.
- Maintain precise and current information in account notes within the relevant systems.
- Consistently achieve designated collection and productivity objectives as assigned by management.
- Uphold strict confidentiality when handling account information.
- Adhere to the established policies and procedures as outlined in the Employee Handbook and the Employee Code of Conduct.
- Actively engage in the Corporate Compliance Program and maintain a vigilant awareness of its guidelines.
- Ensure a confidential and well-organized remote work area.
- Provide assistance with other projects as directed by management.
Preferred Educational Qualifications
- High School Diploma or equivalent required.
Preferred Work Experience
- Prefer previous experience with providing customer service and work within a call center environment
- Prefer previous experience with the medical billing process
Competencies & Skills
- Proficiency in effective communication with patients, colleagues, and management, whether in-person or via remote virtual chat platforms.
- Consistently maintain a courteous and professional demeanor.
- Self-discipline to stay focused and productive with minimal supervision.
- Exhibit initiative and creativity in fulfilling job responsibilities.
- Skillfully prioritize multiple tasks through time management and organizational abilities.
- Possess a strong command of PC operations and the capacity to type at a rate of 30-40 words per minute.
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