Revenue Cycle Patient Services Specialist (104364)

Paycom - ATS; Tyler (TX); On-site; USD 42,000 - 52,000; Full time

Job summary

Paycom - ATS in Tyler, TX seeks a medical billing professional to handle patient statements and act as liaison among clinics, offices, and payors. You will initiate calls on accounts receivable, maintain accurate patient data, and follow approved procedures to ensure confidentiality and accuracy.

The role requires responsive service, knowledge of billing processes, and the ability to resolve questions and complaints while supporting a team-driven environment.

Qualifications

• Demonstrated experience handling multiple phone lines and inquiries.
• Strong knowledge of medical billing and insurance processes.
• Commitment to excellent customer service and issue resolution.
• Detail oriented with professional communication and accuracy.
• Understanding of HIPAA guidelines and patient confidentiality.
• Proficiency with Microsoft Office applications and billing software.

Responsibilities

• Answer patient questions about statements and insurance coverage in a courteous manner.
• Provide exemplary customer service to practice staff and resolve patient inquiries.
• Maintain knowledge base and collaborate with corporate and clinical teams.
• Update insurance and patient information in systems with accuracy.
• Assist with setting up payment plans and manage related documentation.
• Coordinate with agencies regarding patient payments and refunds as needed.
• Handle inquiries via phone or written requests and process discharge transactions.
• File paperwork for services rendered and maintain compliance with policies.

Skills

Phone handling

Medical billing

Customer service

Attention to detail

HIPAA knowledge

Microsoft Office

Tools

Excel

Word

Outlook

Billing software

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 a liaison between practices, clinics, the central business office and payors. Initiates telephone contact and answers all calls pertaining to accounts receivables. Maintains accurate information regarding patient interactions and maintains strict confidentiality of patient information at all times. Follows approved processes, 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, bankruptcy


• Handles 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 request


• Handles 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 Requirements

• Three (3)+ years of work experience in medical billing and customer service experience.

SECTION 4: Knowledge, Skills and Abilities Requirements

• Thorough knowledge of handling multiple phone lines


• Thorough 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, reliable


• Ability to diffuse complex and confrontational situations with patients and practice staff


• Management and organizational skills to support the leadership of this function


• Ability to follow or provide verbal & written instructions with sufficient grammar and spelling skills to avoid mistakes or misinterpretations


• Interpersonal skills to support customer service, functional, and team mate support needs


• Able to communicate effectively in English, both verbally and in writing


• Mathematical and/or analytical ability for basic to intermediate problem solving


• Basic to intermediate computer operation


• Proficiency with Microsoft Excel, Word, and Outlook


• Specialty knowledge of systems relating to job function


• Knowledge of state and federal regulations for this position; general understanding of HIPAA guidelines

SECTION 5: Supervisory Responsibilities:

This position has no supervisory responsibilities.