Patient Financial Services Associate

Patient Financial Services Associate Richmond, KY Job Details From $15.04 an hour 16 hours ago Benefits Paid holidays Disability insurance Health insurance Paid time off 401(k) matching Qualifications Collaborate with healthcare professionals Debt collection phone call OSHA (regulatory compliance area) Appeals Medicare Phone communication Maintaining patient confidentiality Insurance claim appeals processing HIPAA Filing High school diploma or

GED ICD-10

Medical billing Medical insurance appeals management Patient interaction Typing Medical terminology Communication skills Entry level Customer complaint resolution Client interaction via phone calls Full Job Description At White House Clinics, we do health care differently. Our multi-disciplinary care teams incorporate the expertise of medical, dental, behavioral health, pharmacy, and care navigation professionals to provide patients with comprehensive care designed to help them achieve their health goals. While our work is fast-paced, our teams enjoy being able to work collaboratively to support patients. White House Clinics employees enjoy a competitive wage and robust benefit package including: Employer Paid Health, Life & Disability Insurance 4 Weeks of PTO 401k Retirement Plan with up to 4% Employer Match 8 Paid Holidays And More! At White House Clinics, we believe in providing our employees with opportunity for both personal and professional growth in a challenging and rewarding work environment. We recognize the contributions that each person makes to the team and value each person's input as we work to deliver outstanding patient care. Join us today!

PRIMARY FUNCTION

Ensure that patient claims are effectively processed to the appropriate source, such as: Private insurance, Medicare, Medicaid and Self Pay. This involves remittance, advice, customer courtesy and filing.

PRINCIPLE DUTIES

Prepare and submit clean claims electronically or by paper to various insurance companies. Work directly with the insurance company, healthcare provider, and patient to get claims processed and paid. Process payments received from insurance companies. Review and appeal unpaid and denied claims. Complete departmental filing of EOB's and reports. Answer patient questions on patient responsible portions, co-pays, deductibles etc., and resolve patient complaints or explain why certain services are not covered. Prepare and send patient statements. Perform various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers, and working with patients to establish budget plans for unpaid balances. Process refunds for patients and insurance companies. Complete credentialing and re-credentialing of providers as needed. Assist with other duties or in other departments as instructed by supervisor. Provide superior customer service to all patients, external customers (office staff of other offices, hospital, community agencies, etc.), and co-workers. Serve as an ambassador of the White House Clinics in all conversations and interactions with these parties. Maintain personal compliance with all White House Clinic policies and procedures (OSHA, HIPAA, Standing Orders, etc.)

JOB REQUIREMENTS

Minimum Education & Experience :

High school diploma or GED required. Post-secondary education or prior billing experience preferred.

Required License :

none

KNOWLEDGE, SKILLS & ABILITIES

To perform this job successfully, an individual must have the following knowledge, skill, and/or ability: Knowledgeable of insurance and reimbursement process. Familiarity with HIPAA privacy requirements for patient information. Good verbal and written communication skills. Basic understanding of ICD-10 and

CPT/HCPC

billing codes. Proficient in medical terminology. Good telephone and patient relation skills. Detail oriented and ability to prioritize work.

ACCOUNTABILITY

Accountable to the Team Lead & Billing Manager. Responsible for keeping the Billing Manager informed of billing department activities, and of problems that may arise.

TYPICAL PHYSICAL DEMANDS

Requires standing or sitting. Requires eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator and other office equipment. Requires normal range of hearing and eyesight to record, prepare and communicate appropriate reports. Requires lifting papers or boxes up to 50 pounds occasionally. Requires dexterity to type 60 wpm.

TYPICAL WORKING CONDITIONS

Work is performed in an office environment. Involves frequent contact with staff and public. Work is stressful at times. Contact may involve dealing with angry or upset people. Occasional overtime required. SALARY Starting at $15.04 per hour, based on experience. The above information is intended to describe the most important aspects of the job. It is not intended to be construed as an exhaustive list of all responsibilities, duties and skills required in order to perform the work. The health center reserves the right to revise or change job duties and responsibilities as the business need arises. Additionally, this job description is not intended as an employment contract, implied or otherwise, and the Center continues to maintain its status as an at-will employer.