Overview
This role involves working as a Revenue Cycle Patient Financial Service Representative reporting to the Revenue Cycle Manager. The primary responsibility is to ensure timely and accurate payment of outstanding patient account balances while providing excellent customer service to patients and key stakeholders. The position also includes assisting with TOS collections for upcoming appointments and managing post-service payment collections.
Responsibilities
- Educate patients on statement balances
- Explain insurance terms and regulations to help patients understand their balances
- Obtain missing claim information to ensure prompt payment
- Research patient balance due accounts thoroughly and perform outbound calls
- Obtain and process patient payments using various electronic tools
- Resolve delinquent accounts promptly by proactively working outstanding patient balances
- Contact patients to arrange payment plans
- Negotiate payment plans according to policy
- Monitor adherence to payment plans
- Process adjustments when appropriate and in accordance with policies
- Resolve complaints courteously, professionally, and confidentially
- Recommend accounts for bad debt, collection agency placement, or charity write-off per department policies
- Manage relationships with third-party collection agencies
- Collaborate with revenue cycle management teammates to research, appeal, and resolve claim rejections or denials
- Maintain knowledge of mental health billing, self-pay collection policies, and procedures
- Consistently meet or exceed department productivity, quality standards, and performance requirements
- Ensure patient statements are processed weekly
- Develop and maintain positive working relationships with cross-functional teams, teammates, payor representatives, and other key stakeholders
- Attend and facilitate team meetings, phone conferences, and training as needed
Qualifications
- Minimum 1 year of physician billing and collection experience
- High school diploma
- Self-starter capable of managing own workflow with minimal oversight
- Detail-oriented and able to meet tight turnaround times
- Strong written, verbal, and interpersonal communication skills
- Ability to exercise initiative, judgment, and decision-making skills
- Intermediate computer skills including proficiency in MS Word, Excel, Outlook, database management, and internet usage
- Ability to resolve billing and payment issues by analyzing patient accounts
- 2-4 years of physician billing and accounts receivable experience in healthcare preferred
- Certified Revenue Cycle Representative or other billing certification preferred
Compensation & Benefits
- Hourly compensation range: $19 - $21, with actual pay varying based on licensure, experience, market factors, and incentive opportunities
- Competitive benefits including medical, dental, vision, low-cost virtual care, dependent and domestic partner coverage, and 401(k) plan
Location
Not specified
The employer is committed to fair and equitable compensation practices and fostering an inclusive and diverse workplace.