Patient AR Specialist

Job Description

Job Description

Overview

The Patient A/R Specialist is responsible for answering inbound patient phone calls and assisting with patient account questions.

Responsibilities

MAIN:

1. Makes calls to and answers incoming calls from patients, discussing their account balance while ensuring that our patients have an exceptional experience.
2. Maintains occupancy rate at or above department levels.
3. Take payments over the phone from patients as well as make payment arrangements.
4. Reviews patient accounts for external collection action, after all other avenues of internal collection action has been exhausted.
5. Researches and prepares patient credits for refund approval.
6. Process bankruptcy notices according to company policy.
7. Prioritize work to maximize turn-around time.
8. Meets or exceeds productivity standards in the completion of daily assignments and accurate production.
9. Maintain an error rate in accordance with departmental policy.
10. Makes changes to demographic information as necessary in order to produce a clean patient statement.
11. Answer and respond to external and internal phone calls in a timely and professional manner.
12. Performs all other assigned duties.

GENERAL DUTIES:

1. Conducts self in accordance with the company’s standard values and policies.
2. Participates in a variety of educational programs, corporate and professional, to maintain current skill and competency levels.

The Essential Job Functions and Duties and Responsibilities listed above are not exhaustive. The job functions and duties of this job may vary depending upon the specific nature and needs of the department, including size, location and services offered. At some locations, employees may not perform all of the job functions or duties listed above. At other locations, employees may perform some or all of the job functions or duties listed above and, in addition, may be required to perform other job functions or duties as directed. In addition, given the nature of its business, MMRG retains the right to modify the essential job functions and duties of this position at any time.

METHOD AND FREQUENCY OF SUPERVISION:

Monthly meetings with supervisor. Informal supervision with employee through an open door policy. Employee is expected to ask questions when needed.

Qualifications

Education:

• High School diploma or equivalent

Prior Experience:

• 2+ years medical billing experience or collections experience in a healthcare setting

Skills and Proficiencies:

• Working knowledge of CMS guidelines, contracted insurance guidelines, and coding policies.
• Demonstrated computer and math skills.
• Detail oriented, reliable and able to multi-task in a fast-paced, high-volume work environment.
• Excellent verbal and written communication skills.
• Ability to maintain a high level of confidentiality (HIPAA guidelines and regulations) and professionalism.
• Ability to read and understand oral and written instructions
• Ability to establish and maintain effective working relationship with team members, clinic staff, payers and patients.
• Professional customer service skills.
• Have a desire and dedication to work with self-discipline.
• Maintains the strictest confidentiality: adheres to all HIPAA guidelines and regulations.

Physical Abilities:

• Ability to sit for long periods. Work requires walking, bending, standing, sitting, and reaching

In accordance with the Americans with Disabilities Act, it is possible that requirements may be modified to reasonably accommodate disabled individuals. However, no accommodations will be made which may pose serious health or safety risks to the employee or others or which impose undue hardships on the organization. Job descriptions are not intended as and do not create employment contracts. The organization maintains its status as an at-will employer. Employees can be terminated for any reason not prohibited by law.