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Patient Resolution Specialist - Remote

Med-Metrix

Red Bank, NJ(remote)

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JOB DETAILS
JOB TYPE
Full-time
SKILLS
Accounting Software, Accounts Receivable, Authentication, Communication Skills, Customer Support/Service, Genetics, HIPAA (Health Insurance Portability and Accountability Act), Health Insurance, Healthcare Reimbursement, Hospital Systems, Inbound Call Centers, Information/Data Security (InfoSec), Insurance, Interpersonal Skills, Medical Billing, Microsoft Office, Military, Negotiation Skills, Office Equipment, Outbound Call Centers, Peripheral Hardware, Physical Demands, Physical Security, Presentation/Verbal Skills, Privacy Controls, Problem Solving Skills, Quality Metrics, Resolve Customer Issues, Security Compliance, Smartphones, State Laws and Regulations, Systems Analysis, Systems Maintenance, Time Management, Writing Skills
LOCATION
Red Bank, NJ
POSTED
30+ days ago
Job PurposeThe 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 ResponsibilitiesManage a continuous 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 paymentAttain payment of outstanding patient accounts through use of effective negotiation and customer service skillsAccurately records status of collection efforts in company and member systemsResearch 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 guidelinesResponsible for meeting monthly goals and quality standards through efficient and accurate work processesOther duties as assignedUse, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standardsUnderstand and comply with Information Security and HIPAA policies and procedures at all timesLimit viewing of PHI to the absolute minimum as necessary to perform assigned dutiesQualificationsHigh school diploma or equivalent required At least 5 years’ experience working in a related role, with at least 1 year experience working in an inbound/outbound call center environmentStrong working knowledge of the healthcare reimbursement processWorking knowledge of Microsoft Office applicationsStrong interpersonal skills, ability to communicate well at all levels of the organizationStrong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analysesHigh level of integrity and dependability with a strong sense of urgency and results oriented Excellent written and verbal communication skills requiredGracious and welcoming personality for customer service interactionWorking ConditionsMust possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes.Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend 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.Med-Metrix 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 origin, 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.

About the Company

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Med-Metrix