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Job Summary
The Financial Counseloris responsible fortimelyandaccuratefollow up and resolution of all unpaid patient balances. Responds to a high volume of patient calls generated from self-pay statements,analyzesself-pay balances todeterminepatient responsibility, obtains and entersaccurateinsurance information,establishespayment plans, processes patient payments,researchnon-collectible accounts for the collection agency.This individual will alsoinitiateself-pay collection calls topatient'songoing basis.They will act asa billing representativeto collect and resolve patient issues related to financial information on patient accounts,mainly forfinancial issues that could be one of the determining factors for the patient beingseenthat day.
Key Responsibilities
Follows HIPAA guidelines in handling patient information
Answer incoming calls from patients, physicians offices and insurances
Resolves patient-billing problems and rescues accounts receivable delinquency, applying good customer service in a timely manner.
Reviewing open accounts for collection efforts.
Review and monitor assigned accounts and all applicable collection reports.
Provide timely follow-up on payment arrangements.
Making outbound collection calls in a professional manner while keeping and improving customer relations.
Set up payment arrangements if needed/applicable
When reviewing accounts, makes sure all available resources of payment have been researched and exhausted. Identifies if there are issues and that information is communicated to the appropriate billing staff via patient case that may need to be reviewed such as corrections to claims, appeals, etc.
Billing staff via patient case that may need to be reviewed such as corrections to claims, appeals, etc.
Answers calls from the billing loop.
Handles concerns or questions from patients to resolve claims and payment issues
Assure compliance with all company plans, policies and procedures
Be friendly with all patients and satisfy their questions and queries
Complete insurance verifications, including understanding of contracted and non-contracted accepted insurances
Consolidated Billing (SNF)
Fulfill attorney requests for patient billing
Write up patient overpayments for refund
Run and complete aging reports
Ability to work collaboratively with others and train staff on in office procedures as they relate to the AR department
All other duties as assigne
Education and Experience
Preferred Qualifications & Skills
Working knowledge of a large medical office
Excellent written and verbal communication skills
Organizational skills and ability to prioritize assigned workloads
Knowledge of EMR and PM system
Orthopaedic Solutions Management is a Drug Free Workplace
We are committed to maintaining a safe, healthy, and productive work environment. As part of this commitment, we operate as a drug-free workplace. All candidates will be required to undergo pre-employment drug screening and/or be subject to random drug testing in accordance with applicable laws and company policy.