Physicians East
Patient Financial Services Advisor I
Physicians East, Greenville, North Carolina, United States, 27834
Patient Financial Services Advisor I
Physicians East
Job Title: Patient Financial Services Advisor
FLSA Status: Non-Exempt
About us Physicians East, P.A. is a team of skilled healthcare professionals united to meet the challenge of delivering quality, cost-efficient, comprehensive healthcare to the people of Eastern North Carolina.
Location & Commitments FT/PT/Temp/PRN role based at our Greenville (other) location, Monday-Friday, 8 a.m. – 5 p.m. Additional hours may be required to meet the needs of the business. Weekend work is rare but can occasionally be necessary.
Supervision Reports to the QMS Operations Supervisor and Operations Manager.
Typical Physical Demands Work is performed in a high-volume office environment, which can be stressful at times. It involves frequent communication with patients, staff members and other medical facilities.
Typical Working Conditions Work requires sitting for long periods of time, some stooping, bending, and stretching may be required. Requires manual dexterity sufficient to operate a keyboard, type 40‑wpm, telephone, fax machine and any other office equipment as necessary. Vision must be correctable to 20/20 and hearing must be within the normal range for telephone contacts.
About the role The Patient Financial Services Advisor I is responsible for the research, investigation, and resolution of outstanding medical patient accounts receivable. The advisor also communicates and resolves patient inquiries, negotiates payment plans, distributes and monitors calls requiring additional research, receives payment, posts amounts to customer accounts, prepares statements for the credit department if a customer fails to respond, and keeps records of collection and status of accounts. The advisor maintains assigned accounts receivables at appropriate levels and contacts patients and insurance departments on delinquent accounts.
Responsibilities
Make outgoing phone calls to patients to secure acceptable payments, payment arrangements, and or obtain necessary medical billing insurance information.
Receive incoming phone calls from patients to discuss statements and collect payments.
Review daily/weekly reports and update accounts accordingly.
Prepare and present reports on collection activities and processes when requested.
Track and monitor outstanding accounts receivable balances for determination of next steps in the medical collections process.
Provide clear communication and excellent customer service on collection issues to patients and internal business associates (physicians, office staff, management, etc.).
Update the practice management billing system to identify actions that have been taken on the account.
Adhere to the Fair Debt Collection Practices Act (FDCPA) and all applicable HIPAA, state/national laws governing the collection of outstanding medical accounts receivable.
Process patient financial assistance discount applications using established Federal Poverty Guidelines.
After investigation, resubmit claims or submit corrected claims.
Write and submit denials to third‑party payers.
Negotiate and advise on the collection of overdue bills and take appropriate action to recover overdue payments.
Develop, implement, maintain, and manage organization policies on collection practices.
May work with legal counsel regarding more complex collection cases.
Complete work requests timely and in accordance with instruction and production goals.
Perform all tasks necessary to maintain current and accurate account information in each appropriate system (e.g., entering notes, claims on hold).
Bring problems and troubling accounts, as well as related questions, to the supervisor’s attention daily.
Perform other duties/projects as assigned by management.
Candidate requirements
High school diploma or equivalent; Associate’s or Bachelor’s degree preferred.
At least 2‑3 years of relevant experience in medical patient collections within a hospital or healthcare practice required.
Clear, professional communication skills, specifically telephone voice and technique.
Experience with an Electronic Medical Record (EMR) and practice management system required. Proficiency in Microsoft Office suite of products.
Knowledge of Medicare/Medicaid and major insurance carriers preferred.
Working knowledge of the Fair Debt Collection Practices Act (FDCPA) preferred.
Working knowledge of ICD‑9 / CPT medical coding and billing, and medical terminology preferred.
Strong analytical and research skills.
Problem‑solving and critical‑thinking skills.
Ability to submit appeals with supportive medical documentation.
Ability to apply correct deductible, co‑insurance, co‑payment.
Ability to apply correct benefits for par, non‑par provider, single case agreement.
Excellent communication and interpersonal skills, both verbal and written.
Ability to establish and maintain effective working relationships with patients, employees, and the public.
Well organized, detail‑oriented, and good time‑management skills.
Affirmative Action/EEO statement Physicians East, P.A. is an equal opportunity employer and will not discriminate against any applicant or employee on the basis of age, race, color, ethnicity, religion, creed, sex (including gender, pregnancy, sexual orientation, and gender identity, which includes status as a transgender individual), national origin or ancestry, citizenship, past, current, or prospective service in the uniformed services, genetic information (including family medical history), physical or mental disability, or other legally protected status. Reasonable accommodation will be made for persons with disabilities during the application process and/or at the time of employment. Requests for accommodation should be made to the Human Resources Department as early as possible in the application/employment process. Contact HR Office at 252‑413‑6368 or email careers@physicianseast.com.
Disclaimer Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
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Job Title: Patient Financial Services Advisor
FLSA Status: Non-Exempt
About us Physicians East, P.A. is a team of skilled healthcare professionals united to meet the challenge of delivering quality, cost-efficient, comprehensive healthcare to the people of Eastern North Carolina.
Location & Commitments FT/PT/Temp/PRN role based at our Greenville (other) location, Monday-Friday, 8 a.m. – 5 p.m. Additional hours may be required to meet the needs of the business. Weekend work is rare but can occasionally be necessary.
Supervision Reports to the QMS Operations Supervisor and Operations Manager.
Typical Physical Demands Work is performed in a high-volume office environment, which can be stressful at times. It involves frequent communication with patients, staff members and other medical facilities.
Typical Working Conditions Work requires sitting for long periods of time, some stooping, bending, and stretching may be required. Requires manual dexterity sufficient to operate a keyboard, type 40‑wpm, telephone, fax machine and any other office equipment as necessary. Vision must be correctable to 20/20 and hearing must be within the normal range for telephone contacts.
About the role The Patient Financial Services Advisor I is responsible for the research, investigation, and resolution of outstanding medical patient accounts receivable. The advisor also communicates and resolves patient inquiries, negotiates payment plans, distributes and monitors calls requiring additional research, receives payment, posts amounts to customer accounts, prepares statements for the credit department if a customer fails to respond, and keeps records of collection and status of accounts. The advisor maintains assigned accounts receivables at appropriate levels and contacts patients and insurance departments on delinquent accounts.
Responsibilities
Make outgoing phone calls to patients to secure acceptable payments, payment arrangements, and or obtain necessary medical billing insurance information.
Receive incoming phone calls from patients to discuss statements and collect payments.
Review daily/weekly reports and update accounts accordingly.
Prepare and present reports on collection activities and processes when requested.
Track and monitor outstanding accounts receivable balances for determination of next steps in the medical collections process.
Provide clear communication and excellent customer service on collection issues to patients and internal business associates (physicians, office staff, management, etc.).
Update the practice management billing system to identify actions that have been taken on the account.
Adhere to the Fair Debt Collection Practices Act (FDCPA) and all applicable HIPAA, state/national laws governing the collection of outstanding medical accounts receivable.
Process patient financial assistance discount applications using established Federal Poverty Guidelines.
After investigation, resubmit claims or submit corrected claims.
Write and submit denials to third‑party payers.
Negotiate and advise on the collection of overdue bills and take appropriate action to recover overdue payments.
Develop, implement, maintain, and manage organization policies on collection practices.
May work with legal counsel regarding more complex collection cases.
Complete work requests timely and in accordance with instruction and production goals.
Perform all tasks necessary to maintain current and accurate account information in each appropriate system (e.g., entering notes, claims on hold).
Bring problems and troubling accounts, as well as related questions, to the supervisor’s attention daily.
Perform other duties/projects as assigned by management.
Candidate requirements
High school diploma or equivalent; Associate’s or Bachelor’s degree preferred.
At least 2‑3 years of relevant experience in medical patient collections within a hospital or healthcare practice required.
Clear, professional communication skills, specifically telephone voice and technique.
Experience with an Electronic Medical Record (EMR) and practice management system required. Proficiency in Microsoft Office suite of products.
Knowledge of Medicare/Medicaid and major insurance carriers preferred.
Working knowledge of the Fair Debt Collection Practices Act (FDCPA) preferred.
Working knowledge of ICD‑9 / CPT medical coding and billing, and medical terminology preferred.
Strong analytical and research skills.
Problem‑solving and critical‑thinking skills.
Ability to submit appeals with supportive medical documentation.
Ability to apply correct deductible, co‑insurance, co‑payment.
Ability to apply correct benefits for par, non‑par provider, single case agreement.
Excellent communication and interpersonal skills, both verbal and written.
Ability to establish and maintain effective working relationships with patients, employees, and the public.
Well organized, detail‑oriented, and good time‑management skills.
Affirmative Action/EEO statement Physicians East, P.A. is an equal opportunity employer and will not discriminate against any applicant or employee on the basis of age, race, color, ethnicity, religion, creed, sex (including gender, pregnancy, sexual orientation, and gender identity, which includes status as a transgender individual), national origin or ancestry, citizenship, past, current, or prospective service in the uniformed services, genetic information (including family medical history), physical or mental disability, or other legally protected status. Reasonable accommodation will be made for persons with disabilities during the application process and/or at the time of employment. Requests for accommodation should be made to the Human Resources Department as early as possible in the application/employment process. Contact HR Office at 252‑413‑6368 or email careers@physicianseast.com.
Disclaimer Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
#J-18808-Ljbffr