Posted in Health Care 30+ days ago.
Type: Full-Time
Location: Dorchester, Massachusetts
SUMMARY:
Reporting to the Patient Services Manager, the Patient Services Financial Liaison will be the on-site contact person for providers and patients regarding outstanding patient balances. The PSFL also works in a cooperative team environment with the outsourced billing company to provide value to customers (internal or external
GENERAL DUTIES & RESPONSIBILITIES:
Assists patients in understanding their financial responsibilities to DotHouse Health. Includes a review of the patients account within Ochin Epic as well as the use of payor online portals, and other systems available that assist in determining patient responsibility.
Responsible for the assessment and posting of all Patient payments received for Self-Pay outstanding balances, receive and review third party negotiated settlement agreements.
Responsible for the review and completion of the Account and Adjustment Review WQs within the EPIC system including the Statement Intervention work que for accuracy of patient balance due.
Perform initial financial assessment and inform patient of the resources available for payment options to the health center; including, payment plans, sliding fee discount program, patient referral to Financial Counselors when appropriate to complete the program application process.
Contact patients through designated methods regarding payment negotiation, outstanding self-pay balance resolution, and walk-in patients with questions related to Billing and Collections and insurance EOB questions.
Obtain patient payment plan contract, once agreement for potential balance payoff and / or payment terms within stated level of authority and guideline limits.
Document communications with patient and relevant information in EPIC regarding payment expectations.
Prepare and submit reports to Patient Services Manager on the status of outstanding self-pay balances and proposed/planned payment settlement details.
Recommend quality and/or process improvement initiative to perform job function of the position mire effectively and efficiently.
Perform other tasks as required.
Education: High school diploma or equivalent required. 2+ year of medical claims billing, Associates or BA Degree preferred.
Experience: Previous billing and customer service experience in a health facility.
Software/Hardware: Epic Experience Preferred. Must be proficient and have a strong working knowledge of Microsoft Office (Outlook, Excel, Word, etc.).
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