Patient Financial Services Specialist

Summary

EmergeOrtho is a North Carolina provider of comprehensive musculoskeletal care. The Patient Financial Services Specialist supports patients with medical billing questions, researches and resolves accounts, manages self-pay collections and payment plans, and coordinates with patients, payers, and internal teams to maximize collections and ensure policy compliance.

Responsibilities

• Understand the entire revenue cycle and resolve claims regardless of where they appear in the cycle
• Communicate with patient/guarantors by telephone to secure payment on the outstanding balance by the guarantor
• Verify, obtain, and update patient and guarantor demographic information, insurance packages, case policies, and/or documents necessary for resolution of account
• Record payment information as presented by patient / guarantor
• Manage Self-Pay Account Worklists through proactive patient calls
• Document all patient communications (verbal & written) in the Patient Account View
• Manage Pre-Payment and Payment Plans in compliance with pre-defined parameters outlined in organization’s patient financial policies
• Work Patient Correspondence in Correspondence dashboard
• Perform financial counseling by providing patients high level customer service regarding balance origination, balance/claim(s) resolution, pre-payment and/or payment plans, and applications for assistance
• Manage credit card contracts
• Report on aged AR based on need, and trend increases and impact of seasonal activities; preparation of reports in Excel as needed or requested
• Serve as liaison between patient, AR Specialists, physicians, physician staff, and Reception staff as needed internally; guarantor or payers externally as needed
• Review, research or communicate with Practice Management or VBO as necessary regarding any questionable accounts or issues presented by patient / guarantor
• Work assigned Collection Worklist on the prescribed schedule
• Create Self-Pay adjustments per organizational financial policies
• Initiate and follow through on patient refund requests based on the organizational financial policies
• Performs other duties as required and assigned by Manager, including schedule changes and travel to office locations as assigned

Skills

• High school diploma or equivalent
• Minimum two years' experience in financial services, healthcare or medical practice setting preferred

Qualifications

Must Haves

• High school diploma or equivalent

Nice to Haves

• Minimum two years' experience in financial services, healthcare or medical practice setting preferred

Benefits

• Flexible Schedule - Designed to fit your lifestyle and promote work-life balance
• Remote Work Environment - Work comfortably from home while staying connected to a dedicated and collaborative team