Full-time, Remote - Work from Home

Work Schedule - Monday - Friday, 8:00 am - 5:00 pm.

The Patient Financial Services Specialist assists patients with questions and concerns regarding medical billing in a prompt and courteous manner by performing account research, balance verification, patient support, and verification of billing and policy compliance. Responsible for all activity related to the collection of Self-Pay balances. Is authorized to work out settlements within guidelines and approve the movement of patient balances within the system. Works with the patients, Revenue Specialists, Third Party Payers, and the practices to maximize collections. Must use independent judgment on the prioritization of assigned tasks. 

Responsibilities include, but are not limited to, the following:

• Understand the entire revenue cycle and resolve claims regardless of where they appear in the cycle.
• Communicate with patients/guarantors by telephone to secure payment on the outstanding balance by the guarantor.
• Verify, obtain, and update patient and guarantor demographic information, insurance packages, case policies, and/or documents necessary for resolution of account.
• Record payment information as presented by patient/guarantor.
• Manage Self-Pay Account Worklists through proactive patient calls.
• Document all patient communications (verbal & written) in the Patient Account View.
• Manage Pre-Payment and Payment Plans in compliance with pre-defined parameters outlined in organization’s patient financial policies.
• Work Patient Correspondence in Correspondence dashboard.
• Perform financial counseling by providing patients high-level customer service regarding balance origination, balance/claim(s) resolution, pre-payment and/or payment plans, and applications for assistance.
• Manage credit card contracts.
• Report on aged AR based on need, trend increases, and impact of seasonal activities; preparation of reports in Excel as needed or requested.
• Serve as liaison between the patient, AR Specialists, physicians, physician staff, and reception staff as needed internally; guarantor or payers externally as needed.
• Review, research or communicate with Practice Management or VBO as necessary regarding any questionable accounts or issues presented by patient/guarantor.
• Work assigned Collection Worklist on the prescribed schedule.
• Create Self-Pay adjustments per organizational financial policies.
• Initiate and follow through on patient refund requests based on the organizational financial policies.