What are the responsibilities and job description for the Patient Account Specialist position at Fox Valley Orthopedics?
Location: Geneva, Illinois
Status: Full-time, 40 hours per week
Days/Hours: M-F, 8:30a.m. - 5p.m.
Summary
Monitor and ensure that payments for medical services are received in a timely manner from both insurance companies and patients. Resolve delayed or denied insurance claims. Function as an intermediary between healthcare providers, patients and health insurance companies. Assist to train other Patient Accounts Team Members
Essential Duties and Responsibilities
The essential duties and responsibilities include the following. Other duties may be assigned.
- Work tasks assigned in the three practice management systems.
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Document all actions taken on accounts, including verbal and written communications. Documentation should be concise, complete, accurate and professional.
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Respond to all surgery order tasks, calculate each patient's OOP or Self Pay amounts for those surgeries.
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Contact each patient and collect the OOP estimated amounts seven days prior to the date of the surgery.
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Post the patient revenue that has been collected to the appropriate PM system
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Notify any outside billing vendors of these patient payments if needed.
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Provide patients with surgery, DME, Injection and orthotic benefits and collect all OOP estimate prior to dispensing goods and services
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Post all deposits into the PM system appropriate to the services provided
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Support outside patient collection service when needed.
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*Handle all inbound calls from patients.
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Review guarantor balances and research previous payments to prepare all age patient accounts to turn to the collections agencies.
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Review unapplied credits and surgery deposits and apply to patient accounts or prepare for account for a refund to be sent to the refunds team member.
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Post all payments made by patients via the patient portal when they are notified of a balance.
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Review patient payment plans weekly.
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Final review of accounts to send to the collection agency.
Education and/or Experience
- High school graduate or GED.
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At least 2 years accounts receivable, billing and/or collections experience; healthcare environment preferred.
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Knowledge and understanding of insurance contracts.
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Understanding of medical terminology.
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Excellent verbal and written communication skills.
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Strong organization skills.
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Strong attention to detail.
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Experience with Word and Excel preferred.
Job Type: Full-time