Patient Services Representative I - Remote - Nationwide
Job Description
Receives patient/client calls and resolves them in a professional manner leaving the caller with a positive impression of RCM Vituity. Reviews accounts to determine and take appropriate action, i.e., obtain insurance information, offer appropriate financial assistance, process credit card payment, refer account to a collection agency or refer to the appropriate billing team for further research. Update patient account and notes appropriately based upon action/request. Performs pre-verifications to determine where eligibility and when to send claims by running on-line eligibility. Identify and communicate Patient Services issues. Handles incoming and outgoing calls. Performs other duties as assigned by management. Must be able to type a minimum speed of 40 words per minute or 7,000 data entry key strokes per hour. Experience in a health care setting or insurance related field providing patient registration and/or insurance authorization as typically obtained in approximately two (2) years is required. Related experience in a medical setting preferred. Customer service experience is preferable. Fluent in Spanish language, both oral and written is a plus. Strong customer service experience preferred. Working knowledge of medical terminology preferred. Experience with Microsoft Office and Windows software preferred. Strong written and verbal communications skills required. Knowledge of medical group practice management systems and PC skills. Knowledge and understanding of insurance and managed care requirements. Understanding of health insurance concepts and requirements, including HMO, PPO, Medicare, Medi-Cal, and other federal and state agency programs. Requires knowledge of medical and billing terminology. Ability to demonstrate effective customer service skills with internal and external customers. Ability to make phone calls seeking account resolution. Ability to promote teamwork. Flexible and adaptable to an ever-changing environment. Ability to apply common sense understanding to carry out instructions furnished in written, verbal, or diagram form. Ability to work overtime during peak periods. Required Experience and Competencies. Must have a high school diploma or equivalent. Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization. Work independently with minimal supervision. Ability to deal with problems involving several concrete variables in standardized situations. Trainings to help support and advance your professional growth. Dental, Vision, HSA/FSA, Life and AD&D coverage, and more. EAP, travel assistance, and identify theft included.