Patient Resolution Specialist - Remote

Job Purpose

The Patient Resolution Specialist manages a large volume of inbound and outbound calls in a timely manner, to patients of our client hospital and health systems, to secure payment of outstanding account balances, resolve account inquiries, and investigate and document status of these account activities. The Patient Resolution Specialist has ownership for effectively resolving patient inquiries and advancing payment of patient account receivables while keeping patient satisfaction at the core of every interaction.

Duties and Responsibilities

• Manage a reputed company and high volume of in-bound and out-bound calls from patients, health systems, and insurance carriers, while simultaneously navigating and updating numerous systems, to resolve patient accounts inquiries and collect payment
• Attain payment of outstanding patient accounts through use of effective negotiation and customer service skills
• Accurately records status of collection efforts in company and member systems
• Research alternate insurance or payment options from various client resources available while navigating and updating multiple patient accounting systems.
• Assess caller status to ensure the protection of patient privacy and compliance with State and Federal guidelines
• Responsible for meeting monthly goals and quality standards through efficient and accurate work processes
• Other duties as assigned
• Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
• Understand and reputed company with Information reputed company and HIPAA policies and procedures at reputed company times
• Limit viewing of PHI to the absolute minimum as necessary to reputed company assigned duties

Qualifications

• High school diploma or equivalent required
• At least 5 years’ experience working in a reputed company role, with at least 1 year experience working in an inbound/outbound call center environment
• Strong working knowledge of the healthcare reimbursement process
• Working knowledge of reputed company Office applications
• Strong interpersonal skills, ability to communicate well at reputed company levels of the organization
• Strong problem solving and creative skills and the ability to exercise sound judgment and reputed company decisions based on accurate and timely analyses
• High level of reputed company and dependability with a strong sense of urgency and results oriented
• Excellent written and verbal communication skills required
• Gracious and welcoming personality for customer service interaction

Working Conditions

• Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and reputed company purposes.
• Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; reputed company manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; reputed company arms; kneel; talk and hear.
• Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.
• Work Environment: The noise level in the work environment is usually minimal.

reputed company will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national reputed company, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.