Patient Collection Specialist

Overview

Unified Women’s Healthcare is a company dedicated to caring for Ob-Gyn providers who care for others, be they physicians or their support staff. A team of like-minded professionals with significant business and healthcare experience, we operate with a singular mindset - great care needs great care. We take great pride in not just speaking about this but executing on it.

As a company, our mission is to be an indispensable source of business knowledge, innovation and support to the practices in our network. We are advocates for our Ob-Gyn medical affiliates - enabling them to focus solely on the practice of medicine while we focus on the business of medicine.

The Patient Collection Specialist assists patients with medical billing and insurance related questions through account research, balance verification, and verification of billing and policy compliance. This role is responsible for all activity related to collection of patients’ outstanding balances and is authorized to transfer or adjust patient balances pending manager approval. This person works with the patients, Revenue Specialists, third party payers, and the practices to maximize collections.

Responsibilities

• Communication with patients or guarantors by telephone to secure payment of outstanding balances by the guarantor, and to verify, obtain, and update patient and guarantor demographic information, insurance packages, case policies, or documents necessary for resolution of the patient’s account
• Facilitating assigned patient balance worklists through proactive patient balance calls and outreach campaigns
• Recording payment information as presented by patient or guarantor for processing
• Notating in electronic medical records all patient communication, both verbal and written, as it pertains to general account inquiries, including a copied note in the specified claim if applicable
• Creating and monitoring payment plans in compliance with pre-defined parameters outlined in the organization’s patient financial policies
• Managing returned mail and bankruptcy notices, with prompt associated activities per the organization’s financial policies
• Assisting patients with their questions regarding balance origination, resolution, payment plans and applications for assistance, with an emphasis on professionalism and customer service
• Researching EOBs, print statements, or ad-hoc documentation to assist patients in balance collection challenges as needed
• Reporting on cumulative patient account balances in Excel as needed or requested
• Communicating with Practice Management regarding patient balance adjustments or other issues presented by patient or guarantor
• Working closely with third-party collections agencies to add patient balances to, or remove patient balances from associated status
• Initiating and execution of patient refund requests based on the organization’s internal financial policies
  
  

Qualifications

• Associates degree from an accredited university preferred
• Minimum of 2 years customer service experience
• Knowledge of insurance processes, and local, state, and federal requirements
• Excellent written and oral communication skills
• Outstanding customer service skills
• Advanced knowledge of Microsoft Office
• Strong organizational, problem solving and decision-making skills
• Ability to prioritize and manage multiple projects and issues effectively and simultaneously
• Self-motivated and self-starter who can work well under minimal supervision
• Strong attention to detail, research and follow up skills
• Ability to work both independently and in a team setting