Patient Financial Services Advisor

Job Title:

Patient Financial Services Advisor

FLSA Status:

Non
-Exempt

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.

FT/PT/Temp/PRN role based at our Greenville (other) location, Monday-Friday, 8a.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 Received:

Reports to the QMS Operations Supervisor and Operations Manager.

Supervision Exercised:

None.

Work is performed in a high-volume office environment, which can be stressful olves frequent communication with patients, staff members and other medical facilities.

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.

The Patient Financial Services Advisor I is responsible for the research, investigation, and resolution of outstanding medical patient accounts receivable. The Patient Financial Services Advisor I is also responsible for communication and resolution ofpatient inquiries and negotiate payment plans; distribute and monitor calls requiring additional research, receiving payment,and posting amount to customer's account; preparing statements to credit department if customer fails to respond; and keeping records of collection and status of accounts.

The Patient Financial Services Advisor I assist with maintaining assigned accountsreceivablesat appropriate levels. The Patient Financial Services Advisor Icontactpatients and insurance department on delinquent accounts.

• Make outgoing phone calls to patients to secure acceptable payments, payment arrangements, and orobtainnecessary 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 process
  -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.).
• Updating the practice management billing system to identify actions that have been taken on the account.
• Adhering to the Fair Debt Collection Practices Act (FDCPA) and all applicable HIPAA, state/National laws governing the collection of outstanding medical accounts receivable.
• Processing 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 collection of overdue bills and take appropriate action to recover overdue payments.
• Responsible for developing, implementing,maintaining,and managing organization policies on collection practices.
• May work with legal counsel regarding more complex collection cases.
• Completes work request timely and in accordance with instruction and production goals.
• Performsallthe tasks necessary to maintain current and accurate account information in each of the appropriate systems (i.e.,entering notes, claims on hold).
• Brings problems and troubling accounts, as well as related questions, to his/her immediate supervisor's attention daily.
• Perform other duties/projects as assigned by management.

• High school diploma or equivalent;
  
  Associate’s/Bachelor’s degree is 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.
• E…