May 19, 2021
Ensures that patients are well educated about the financial and insurance aspects of their care
Conduct patient consultations to review and answer questions related to financial policies and requirements
Provide self-pay pricing and review financial contracts
Review and approve loan payments from outside lending companies
Verify patient insurance benefits
Explain insurance coverage and treatment costs and identify the need for any pre-authorizations
Determine patient responsibility amounts and obtain payments in advance of the related procedure
Serve as a Patient Advocate for patients when patients have difficulty navigating with their insurance company.
Patient follow-up to ensure payment of outstanding co-payments, balances, coinsurance, etc.
Respond to patient calls/correspondence regarding billing questions, financial policies, claims submission
Manage assigned patients' financial matters throughout their treatment plan
Verify and post deposit and payment amounts.
Customer service skills for interacting with patients regarding medical claims and payments
Research and resolve any discrepancies, denials, appeals, collections
Review patient bills for accuracy and completeness and obtain any missing information
Prepare and process refund requests
Update patient accounts, including verification of insurance coverage and changes in patient information, with appropriate documentation.
Respond to a high volume of telephone inquiries in a positive and professional manner, resolve and follow up on all issues within designated timeframes.
Meet positional metrics and benchmarks.
Maintain the highest degree of ethics when handling patient payments and bill processing
Follow all department standard operating procedures carefully and accurately
Other duties as assigned by the Director.