Patient Service Representative

Patient Service Rep (Health Insurance)

Overview Of Position

The Patient Service Rep is responsible for communicating by phone with patients or insurance companies for the purpose of collecting and managing accounts receivable. They ensure the timely receipt of claim payments and minimizes bad debt accrual. Collection activities through efficient, effective communication and resolution of the outstanding accounts receivable balance

Must be willing to work later shifts 12:30-9:00pm

What Will Be My Duties And Responsibilities In This Job?

• Handles patient and insurance inquiries associated with specific patient accounts, including identification and resolution of billing discrepancies when reviewing the account.

• Effectively communicates with inbound and outbound guarantors/patients or insurance companies as to the status of the account and answers questions or inquiries efficiently

• Adheres to HIPAA, PCI, and Change Healthcare Policies and Procedures

• Answers or makes inbound/outbound calls in a fast-paced environment; handles difficult situations while maintaining quality customer service and expected

• Responsible for working self-pay or insurance receivables and related payments for the client. Effectively work accounts receivable to optimize cash flow and to meet organizational financial goals and objectives

• Establishes budget plans or payment arrangements with established guidelines and policies

• Accurately documents all follow-up activities pertaining to each specific account in the CHC Workflow tool(s) concisely, completely and/or takes action in the client system as directed

• Handles escalation calls/accounts as necessary and appropriately de-escalates call to ensure patient/client satisfaction.

• Accepts special projects, assignments and instructions in a professional manner, and sees them through to completion of identified goals

• Performs tasks conscientiously and thoroughly while adhering to established goals and objectives

• Responsible for updating patient demographics and insurance information

• Responsible for working correspondence, edits and aged account receivable and identifying problem accounts to CHC leadership

• Responsible for resolving and/or appealing denials and rejections. Responsible for identifying billing/system/collections issues or trends and reporting them to management

• Assisting other representatives with client and/or procedural related questions

• Meets productivity and accuracy standards as established by management

• Other duties as assigned by the Change Healthcare Leadership members

What Are The Requirements Needed For This Position?

• High School diploma or equivalent. College course work strongly preferred

• 1+years of medical revenue cycle experience. Experience with patient information/claims system reimbursement processes

• Thorough knowledge and understanding of healthcare billing and collection practices and methodologies in an automated environment. Knowledge of healthcare billing and/or collections practices. Working knowledge of insurances and general reimbursement types: PPO, HMO, Indemnity, Medicare, Medicaid, Workers’ Compensation

• Must possess excellent customer service and communication skills along with good math skills, ability to read, understand and follow verbal and written instructions; possess basic computer skills (Internet Explorer, Microsoft Outlook, Microsoft Word and Microsoft Excel)

What Other Skills/Experience Would Be Helpful To Have?

• Dependable

• Professional phone etiquette

• Ability to multi task in a fast-paced environment

• Negotiation and problem solving skills

• Time management and organizational skills

• Display a positive attitude

• Effective written and oral communication skills

• Strong interpersonal skills

What Are The Working Conditions And Physical Requirements Of This Job?

• Siting for long periods of time

• Prolong use of the phone

Join our team today where we are creating a better coordinated, increasingly collaborative, and more efficient healthcare system!

Equal Opportunity/Affirmative Action Statement

Change Healthcare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status. To read more about employment discrimination protections under federal law, read EEO is the Law at https://www.eeoc.gov/employers/eeo-law-poster and the supplemental information at https://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP_EEO_Supplement_Final_JRF_QA_508c.pdf.

If you need a reasonable accommodation to assist with your application for employment, please contact us by sending an email to applyaccommodations@changehealthcare.com with "Applicant requesting reasonable accommodation" as the subject. Resumes or CVs submitted to this email box will not be accepted.

Click here https://www.dol.gov/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf to view our pay transparency nondiscrimination policy.

Change Healthcare maintains a drug free workplace and conducts pre-employment drug-testing, where applicable, in accordance with federal, state and local laws.