Revenue Cycle Patient Services Specialist

Paycom - ATS; Tyler (TX); On-site; USD 38,000 - 52,000; Full time

Job summary

Paycom - ATS in Tyler, TX is seeking an experienced medical billing and customer service professional to manage outstanding balances and act as the liaison between practices, the central office, and payors. You will initiate calls, answer inquiries, and maintain confidential patient information with accuracy and courtesy.

You will handle inquiries about statements and insurance, set up payment plans, work with collection agencies when needed, and ensure compliance with HIPAA guidelines while

Qualifications

• Thorough knowledge of handling multiple phone lines.
• Thorough knowledge of medical billing procedures and medical insurance, including credit and collection procedures.
• Thorough knowledge of medical accounts receivable collection procedures and insurance correspondence.
• Detail oriented, professional attitude, reliable.
• Ability to diffuse complex and confrontational situations with patients and practice staff.
• Management and organizational skills to support leadership of this function.
• Ability to follow verbal & written instructions with correct grammar and spelling.
• Interpersonal skills to support customer service and team needs.
• Able to communicate effectively in English, both verbally and in writing.
• Analytical ability for basic to intermediate problem solving.
• Basic to intermediate computer operation.
• Specialty knowledge of systems relating to job function.
• Knowledge of state and federal regulations and HIPAA guidelines.

Responsibilities

• Answers patients' questions regarding statements and insurance coverage.
• Screens calls, provides information, and takes accurate messages.
• Provides exemplary customer service and resolves patient questions.
• Updates insurance and patient information in the computer system.
• Generates paperwork, statements, and receipts when requested.
• Sets up payment plans and works with collection agencies as needed.
• Handles refunds and transactions for discharged patients.
• Completes and files paperwork for services rendered and maintains records.

Skills

Multi-line phone

Medical billing

Accounts receivable

Customer service

HIPAA knowledge

English communication

Analytical thinking

Tools

Excel

Word

Outlook

Job description

SECTION 1: Job Summary (Summary of the basic functions of the position)Responsible for service calls from patients regarding outstanding statement balances and serves as aliaison between practices, clinics, the central business office and payors. Initiates telephone contact andanswers all calls pertaining to accounts receivables. Maintains accurate information regarding patientinteractions and maintains strict confidentiality of patient information at all times. Follows approvedprocesses, policies and procedures in executing job duties.SECTION 2: Duties and Responsibilities (Responsibilities necessary to accomplish job functions)Answers patients' questions regarding statements and insurance coverage, answers telephone in a prompt, courteous, and helpful manner, screening calls, directing calls, providing information, answering questions, and taking accurate messages.Provides exemplary customer service to practice staff and works to resolve patient questions and complaints.Build knowledge base and resource pool at both corporate and clinical locations and operates as a team player in resolving customer issues.Keys updated insurance information and patient information such as bad addresses into the computer. Generates appropriate paper work, including itemized statements and receipts when requested.Handles setting up payment plans such as Budget Agreements for patients and as requested by practice staff.Works with Collection Agencies regarding patient payments, bad debt reports, bankruptcyHandles Refund checks that are returned, Patient Inquiry Task, Help Desk Tickets, as needed.Responds to all inquiries received from patients either by telephone or written requestHandles transactions necessary on discharged patients and processes patient refunds as needed.Completes and files all necessary paperwork for services rendered, i.e., charge tickets, patient forms, medical records, etc.Adheres to all safety policies and procedures in performing job duties and responsibilities while supporting a culture of high quality and great customer service.Performs other duties that may be necessary or in the best interest of the organization.SECTION 3: Experience RequirementsThree (3)+ years of work experience in medical billing and customer service experience.SECTION 4: Knowledge, Skills and Abilities RequirementsThorough knowledge of handling multiple phone linesThorough knowledge of medical billing procedures and medical insurance, including credit and collection procedures required.Thorough knowledge of medical accounts receivable collection procedures, including knowledge of insurance correspondence required.Detail oriented, professional attitude, reliableAbility to diffuse complex and confrontational situations with patients and practice staffManagement and organizational skills to support the leadership of this functionAbility to follow or provide verbal & written instructions with sufficient grammar and spelling skills to avoid mistakes or misinterpretationsInterpersonal skills to support customer service, functional, and team mate support needsAble to communicate effectively in English, both verbally and in writingMathematical and/or analytical ability for basic to intermediate problem solvingBasic to intermediate computer operationProficiency with Microsoft Excel, Word, and OutlookSpecialty knowledge of systems relating to job functionKnowledge of state and federal regulations for this position; general understanding of HIPAA guidelinesSECTION 5: Supervisory Responsibilities:This position has no supervisory responsibilities.