RCM Patient Account Specialist

Unio Health Partners, LLP; United States; Teletrabalho; USD 42 000 - 65 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Competitive Salary

Health Benefits (Medical, Dental, Vis​

Generous time off

Paid Holidays

401(k)

Company Discounts

Collaborative work environment

Employee Recognition

Resumo da oferta

Unio Health Partners is seeking a Remote Patient Account Specialist to manage patient accounts, billing, and insurance claims across authorized states. You will collaborate with staff and payors to ensure accurate billing and timely payments, while providing excellent customer service to patients.

The role requires 2+ years in healthcare payment posting/AR, strong software proficiency, and knowledge of relevant laws.

Qualificações

• High school diploma or GED required.
• 2+ years of healthcare payment posting/AR experience.
• Proficiency in various software and credentialing databases.
• Knowledge of state and federal laws applicable to duties.
• Microsoft Office skills (Word, Excel, PowerPoint, Outlook).

Responsabilidades

• Oversee patient billing processes, verify insurance details, and process claims.
• Submit insurance claims to payors as needed.
• Answer patient billing inquiries with clear explanations of charges and benefits.
• Reconcile patient accounts by applying payments and adjustments accurately.
• Proactively contact patients about procedures and collect payments.
• Negotiate payment plans and apply charity care policies as applicable.
• Investigate delinquencies and establish payment schedules with patients.
• Confirm insurance benefits and eligibility through intake processes.
• Prepare prior authorizations for medical services as needed.
• Resolve discrepancies between payments received and amounts billed.
• Research and analyze accounts and payments; correct improper charges.
• Respond timely to inquiries from payers, patients, and other parties.

Conhecimentos

Healthcare payment posting

AR experience

Software proficiency

State & federal laws knowledge

Microsoft Office Suite

Formação académica

High school diploma or GED

Ferramentas

Credentialing software

Various software/databases

Microsoft Office Suite

Descrição da oferta de emprego

Company Description

Unio Health Partners (UHP) is a highly differentiated physician practice management platform with the goal of transforming care delivery across the Western United States. UHP partners with leading physician practices, creating a cohesive, quality-oriented clinical culture and facilitating best practice sharing across the platform. Our affiliated practices gain access to a broader suite of services, providing a meaningful benefit to both physicians and patients. UHP's best-in-class clinical program covers three sub-specialties (urology, gastroenterology, and radiation oncology) and offers numerous ancillary services, including pathology lab, in-office dispensing, and chronic care management. We are led by a highly accomplished management team and provide a full suite of management services to its affiliated practices. UHP is currently affiliated with 185 clinicians operating out of 62 locations across Southern, Central, and Northern California.

RCM Patient Account Specialist

Company Description

Unio Health Partners (UHP) is a highly differentiated physician practice management platform with the goal of transforming care delivery across the Western United States. UHP partners with leading physician practices, creating a cohesive, quality-oriented clinical culture and facilitating best practice sharing across the platform. Our affiliated practices gain access to a broader suite of services, providing a meaningful benefit to both physicians and patients. UHP's best-in-class clinical program covers three sub-specialties (urology, gastroenterology, and radiation oncology) and offers numerous ancillary services, including pathology lab, in-office dispensing, and chronic care management. We are led by a highly accomplished management team and provide a full suite of management services to its affiliated practices. UHP is currently affiliated with 185 clinicians operating out of 62 locations across Southern, Central, and Northern California.

Position Summary

The Patient Account Specialist is responsible for managing patient accounts, ensuring accurate billing, processing insurance claims, and providing excellent customer service to the patients. Communication with staff, payors, and patients is paramount in this position, ensuring that the patients and needs of all departments are met effectively and efficiently.

This is a remote position, and worker location must be within Unio Health Partners authorized states: AR, AZ, CA, CO, CT, FL, ID, IA, IL, MI, NV, NM, OH, OR, SC, TN, TX, VA, WA and WI.

What You Will Be Doing

• Oversee the financial processes related to patients care, including verifying insurance details, processing claims, and handling billing inquiries.
• Submit insurance claims to various payors, as needed.
• Address patients billing inquiries, providing clear explanations of charges, insurance benefits, and payment options to enhance patients’ satisfaction.
• Reconcile patients’ accounts by applying payments and adjustments accurately, ensuring that account balances reflect the current status and balance.
• Contact patients in advance of a procedure/ visit to explain patient responsibility owed and collect payments in advance.
• Negotiate payment and payment plans with patients experiencing financial hardship and apply charity care policies as applicable.
• Contact patients regarding delinquent accounts and documents mutually acceptable payment schedules.
• Confirm patients’ insurance benefits and eligibility through comprehensive intake process, ensuring coverage.
• Evaluate and prepare prior authorization requests for various medical services, to include follow-up, as needed.
• Responsible for reconciling any discrepancies between the payments received and the amounts billed including investigation of underpayments and overpayments ensuring that all financial records are accurate.
• Research and analyze accounts and payments; reverse balances to credit or debit if charges were improperly billed or if payments were incorrect.
• Respond timely and accurately to all incoming correspondence and inquiries from payers, patients, and other appropriate parties. Elevate issues, as appropriate, to the Manager.

What You Will Bring To The Team

• High school diploma or GED certificate required.
• 2+ years of healthcare payment posting/ AR and practical experience in healthcare setting.
• Proficiency in using various software and/ or credentialing software and databases.
• Knowledge of state and federal laws that apply to the duties of this position.
• Microsoft Office Skills (Word, Excel, PowerPoint, Outlook).

What We Can Offer You

• Competitive Salary
• Health Benefits (Medical, Dental, Vision)
• Generous time off (start accruing on your first day - no waiting period)
• Paid Holidays
• 401(k)
• Company Discounts
• Collaborative work environment - we want our employees to have a say in how we run our office
• Employee Recognition

Compensation is depending on a number of factors including a candidate’s qualifications, skills, competencies, or experience that may fall outside of the range shown