PATIENT ACCOUNTS SPECIALIST - Customer Services

Job Description

Responsibilities

Western Region CBO

The Western Region Consolidated Business Office provides business office services including : billing, collections, cash posting, pre-access management, variance and customer service to our affiliated UHS facilities.

We are seeking dynamic and talented individuals to join our team.

Job Description : Patient Accounts Specalist / Customer Service is responsible for the follow up and resolution of Commercial, Managed Care and third-party insurance accounts receivable balances.

This role :

• Works with insurance companies to secure payment on outstanding account balances.
• Properly documents the patient account with actions taken to resolve the issue(s).
• Meets productivity standards and departmental goals and objectives.

Responsible for the maintenance and processing of patient accounts and hospital insurance collections. Ensuring timely and accurate payment from insurance carriers.

Review payer EOB to determine appropriate follow up based on internal procedures. Utilize Cobius to review and track the life of a denial.

Checks claim status via online and through the Payor Portals. Checks eligibility and updates of the insurance Iplan based on verified insurance coverage.

Works on payer based spreadsheets, communicates trends to leadership. Participates on payer conference calls, trend analysis and meeting daily, weekly and department quotas.

Handles a variety of payers with the proven ability to multitask.

Qualifications

Education :

High School or equivalent.

Experience :

1-3 years healthcare / collection experience and or equivalent experience in a hospital setting.

Key Responsibilities include :

• Completes third party follow up on outstanding insurance claims through contact with the payers.
• Completes incoming correspondence from insurance companies.
• Identify and track root cause payer issues in an attempt to resolve.
• Escalate problem accounts to management team of department for assistance and resolution.
• Properly documents the patient account of all steps taken to resolve the balance.
• Work with facility and internal departments of the CBO to investigate and resolve issues associated with insurance company inquiries.
• Works all daily, weekly and monthly reports as assigned.
• Completes all required monthly in-services and educational training as required.
• Works through coding or billing issues by working EOB's to correct the errors in a timely manner.

Responsible for answering incoming patient calls in a timely manner.

Ensure timely and accurate responses to the patient’s inquiry by utilizing all tools provided to review the account thoroughly and in detail.

Checks claim status via online and through the Payor Portals.

Checks eligibility and updates the insurance (iplan) based on verified insurance coverage.

Communicate trend analysis to leadership and participating in department quotas and monthly meetings.

Handles a multiple tasks while providing Excellent Customer Service.

Other duties as assigned.

Other :

Demonstrated knowledge of insurance billing relating to patient reimbursement.Insurance follow up

Customer focused both internally and externally, strong attention to detail, the ability to multi-task, strong key data entry, and excellent written and oral communication skills are required.

Familiarity insurance collections and 1-3 years healthcare business office experience preferred.

Bilingual (English / Spanish ) Preferred

Technical Skills :

Computer proficiency to include word processing, spreadsheet, database, and patient accounting system.

Strong Microsoft Office skills (Excel, Word, Outlook)

Bilingual ( English / Spanish) preferred

This opportunity offers the following :

• Challenging and rewarding work environment
• Growth and Development Opportunities within UHS and its Subsidiaries
• Competitive Compensation
• Excellent Medical, Dental, Vision and Prescription Drug Plan
• k plan with company match

Universal Health Services :