Description:
Tanner Clinic has an immediate opening for a full-time Patient Accounts Rep - Phones position at our Kaysville Business Office.
Essential Job Responsibilities:
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Identifies delinquent accounts, aging period, and payment sources. Processes delinquent unpaid accounts by contacting patients and third-party reimbursers.
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Performs various collection actions including contacting patients by phone and resubmitting claims to third-party reimbursers.
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Evaluates patient financial status and establishes budget payment plans. Follows and reports status of delinquent accounts.
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Reviews accounts for possible assignment; makes recommendations to credit manager and prepares information for collection agency.
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Assigns uncollectible accounts to collection agency or attorney via clinic credit and collection policy.
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Gathers and researches appropriate information related to patient care, reimbursement, or community resource issues. Follows complaint through to resolution and provides feedback to patient/family. Facilitates relationships with public.
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Works with staff to resolve concerns and improve services, taking advocacy position.
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Tracks and analyzes all concerns and complaints. Identifies problematic trends and makes recommendations for correction. Produces regular overview reports.
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Other duties as assigned.
Requirements:
Education: High school diploma or equivalent.
Experience:
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Patient representative experience preferred.
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Customer Service experience required.
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Previous healthcare experience and/or familiarity with medical terminology preferred.
Other Requirements:
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Basic computer skills required.
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Basic insurance knowledge preferred.
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Ability to resolve patient issues of conflicts.
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Knowledge of how to process cash and credit card payments.
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Experience using credit card machines and a multi-line phone system.
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Exceptional interpersonal skills with the ability to establish immediate rapport with patients.
Performance Requirements:
Knowledge:
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Knowledge of medical billing/collection practices.
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Knowledge of basic medical coding and third-party operating procedures and practices.
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Knowledge of counseling, conflict resolution, and customer service principles and applications.
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Knowledge of research methods to identify issues and clarify policies. Understanding of medical terminology.
Skills:
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Skill in analyzing of data, policies, and requirements and in preparing objective, comprehensive reports using computers for both research and reporting.
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Skill in defusing tense situations through diplomatic problem-solving.
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Skill in effectively balancing needs of clinic with needs of patient with minimum of tension.
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Skill in establishing and maintaining effective internal and external working relationships.
Abilities:
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Ability to enter accurately data and examine insurance documents.
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Ability to deal courteously with patients, staff, and others.
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Ability to communicate effectively with patients, staff, and external contacts via phone, in person, and through well-written reports.
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Ability to demonstrate leadership within medical practice to resolve immediate and long-term patient concerns.
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Ability to establish/maintain effective relationships with a wide variety of people.
Equipment Operated: Standard office equipment with emphasis on computer hardware and software.
Work Environment: Position is in a well-lighted office environment. Constant contact with individuals from many backgrounds. Minimum exposure to communicable diseases. Frequent stress from dealing with tense individuals in uncomfortable situations.
Mental/Physical Requirements: Involves sitting approximately 90 percent of the day, walking or standing the remainder. May require sitting at computer workstation. Occasional stress from dealing with complex patient advocacy issues.