Bilingual Patient Billing Representative

Bilingual Patient Billing Representative-30866University Staff

Description

University of Colorado Anschutz Medical Campus

Department : College of Nursing

Job Title : Bilingual Patient Billing Representative

Position # : 00693072 Requisition # : 30866

Position Location : Sheridan Health Services (Southwest Denver)

3525 W. Oxford Avenue Unit G1 Denver, CO 80236

Job Summary : Nature ofWork :

Nature ofWork :

The University of Colorado, College of Nursing is seeking a Patient Billing Representative for a full-time (1.0 FTE), benefits-eligible position within its federally qualified community health center, Sheridan Health Services (SHS), in southwest Denver, CO (zip code : 80236).

This position will be primarily responsible for verifying patient insurances prior to visits, as well as for communicating in English and Spanish to knowledgeably relay coverage information to patients, collect payments and expertly answer balance questions, contact patients about coverage, balances, or other information pertinent to billing.

Clinic Description :

Sheridan Health Services is a multi-site, nurse-managed federally qualified community health center, funded through the Health Resources and Services Administration Bureau of Primary Healthcare;

and is a collaborative effort between the College of Nursing and the Sheridan School District. There are now 45 employees at two convenient locations to serve community health needs primarily for residents of Arapahoe, Denver and Jefferson counties.

A Youth Health Clinic is located in the Sheridan School District Administration building. The Family Health Clinic is located in southwest Denver on the Fort Logan campus and provides services to adults and children, 65% of whom identify at Latinx, and 42% of whom are best served in another language, with Spanish being the predominant second language.

Services offered include primary care across the lifespan; prenatal and postpartum, gynecology, dentistry, pharmacy, behavioral health, and outpatient substance abuse treatment.

Sheridan Health Services is a Patient-Centered Medical Home, and as such we uphold a model of care that places the patient at the center, incorporating the values and beliefs of the patient in all decision- making.

We extend the reach of the clinic through public health outreach where nursing students provide community outreach, health education, and home visitation services.

Key Responsibilities :

1. Verifying Patient Insurance / Scrubbing Schedules

• Verifies scheduled patient insurance eligibility prior to their appointment and contacts patient to ensure all information is up to date and accurate.
• Verifies all uninsured patients on the sliding scale discount program are still effective and if have not applied yet will coordinate with Outreach and Enrollment for application appointments.
• Assist patients with insurance network questions and coverage for Medical (Adult and Pediatric), Behavioral Health and Dental services.

2. Contact Patients on Collections / Bad Insurance / Expired Slides / Bad Addresses

• Contacts patients when coverage is inactive, expired, or out of network. Follow up on insurance information issues as indicated by billing team at charge entry and claim submission.
• Contacts patients when demographic information is incorrect, such as current address or contact information.

3. Assist with Patient Balance Questions

• Assists patients at check out and via phone for charge costs, balance questions, and payment options.
• Be available to front desk personnel to assist patients with detailed insurance and charge questions to minimize front desk flow disruptions.

4. Charges and Accounts Receivable

• Assists Billing Coordinators to ensure that billing and coding functions are timely and being performed accurately and in compliance with established policies and procedures, state, and federal laws, FQHC guidelines, and public and private insurance plan / program requirements.
• Performs follow up on claim issues as designated by Billing Coordinator in Tasks within EHR.
• Assist billing team with reporting projects as needed.

5. Payment Reconciliation

• Works on payment reconciliation projects within all service lines to create accurate and well-documented payment logs that are appropriate to services rendered.
• Assist in monthly reporting projects for revenue as needed. Work with Finance and Billing team on special projects for grants and reporting.

6. Patient Payment Collection

• Assists with clinic collection efforts by mail, by phone, by electronically automated processes, and in person.
• Works with Finance team and third-party billing department to establish patient account collection processes. Place clinic calls to patients with outstanding balances to collect on balances due.
• Offer payment plan options to patients for balances, documents the agreements, and reviews compliance on accounts.
• Review accounts prior to turning over to collection agency and upload data to the collection agency website monthly.

7. Front Desk Payment Collection

• Evaluates daily work performed by clinic receptionists to assure accurate insurance / payment data is input at both time of check-in and check-out.
• Assists with issuing daily change banks to receptionists, makes change when needed, and keeps all change banks reconciled.
• Assists with collecting change banks and daily deposit funds / reports at end of day from receptionists.
• Reviews and reconciles daily deposit report to entries in daily batch submittals.
• Reviews credit card reports for accuracy daily.

8. Other Duties as Assigned

Work Location :

Sheridan Health Services -

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