Higher Standards, Better Results
Patient Resolution Specialist
Location
New Jersey
Posted
1 day ago
Salary
0
Seniority
Senior
Job Description
Patient Resolution Specialist
Med-Metrix
• Manage a continuous and high volume of in-bound and out-bound calls from patients, health systems, and insurance carriers, while simultaneously navigating and updating numerous systems, to resolve patient accounts inquiries and collect payment • Attain payment of outstanding patient accounts through use of effective negotiation and customer service skills • Accurately records status of collection efforts in company and member systems • Research alternate insurance or payment options from various client resources available while navigating and updating multiple patient accounting systems. • Assess caller status to ensure the protection of patient privacy and compliance with State and Federal guidelines • Responsible for meeting monthly goals and quality standards through efficient and accurate work processes • Other duties as assigned • Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards • Understand and comply with Information Security and HIPAA policies and procedures at all times • Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties
Job Requirements
- High school diploma or equivalent required
- At least 5 years’ experience working in a related role, with at least 1 year experience working in an inbound/outbound call center environment
- Strong working knowledge of the healthcare reimbursement process
- Working knowledge of Microsoft Office applications
- Strong interpersonal skills, ability to communicate well at all levels of the organization
- Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
- High level of integrity and dependability with a strong sense of urgency and results oriented
- Excellent written and verbal communication skills required
- Gracious and welcoming personality for customer service interaction.
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