GENERAL SUMMARY: Serves as a primary point of contact for patients and stakeholders regarding billing, financial obligations, and account inquiries. Provides accurate information, evaluates financial options, and resolves account issues while ensuring compliance with regulatory requirements and organizational policies. Supports revenue cycle operations through account research, payment processing, and documentation management while delivering a high level of customer service. PRINCIPAL JOB FUNCTIONS:
*Commits to the mission, vision, beliefs and consistently demonstrates our core values.
Responds to patient and stakeholder inquiries related to billing, insurance, payments, and financial policies via phone, in person, and written communication.
Evaluates financial situations and establishes payment arrangements, financial assistance, or alternative payment options in accordance with policies.
Researches, verifies, and updates patient demographic, insurance, and account information to ensure accuracy.
Investigates and resolves patient concerns, complaints, and account discrepancies, escalating issues as appropriate.
Processes incoming and returned correspondence, including follow-up actions and patient outreach to obtain updated information.
Performs cashiering functions, including receipting and processing payments for patient and non-patient services.
Reviews and resolves credit balances, including initiating refunds when necessary.
Scans, indexes, and maintains documentation within electronic imaging systems for tracking and compliance.
Ensures compliance with regulatory guidelines when handling patient financial and protected information.
Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise.
Participates in meetings, committees and department projects as assigned.
Performs other related projects and duties as assigned.
(Essential Job functions are marked with an asterisk "*"). REQUIRED KNOWLEDGE, SKILLS AND ABILITIES:
Maintains role competencies as required for the department
Maintains confidentiality and adheres to all HIPAA guidelines and regulations.
Knowledge of patient accounting and patient billing operations
Knowledge of credit and collection laws and practices, third party payer regulations, and Joint Commission regulations.
Knowledge of federal regulations including COBRA, HIPAA, Medicare, Medicaid and Bryan Medical Center's Corporate Compliance Plan.
Knowledge of computer hardware equipment and software applications relevant to work functions.
Ability to clearly communicate Bryan's policies and procedures and payment expectations to patients.
Ability to follow policy and procedures to ensure a consistent patient billing experience.
Ability to communicate effectively both orally and in writing.
Ability to plan, prioritize and coordinate multiple tasks.
Ability to establish and maintain effective working relationships with all levels of personnel, medical staff, volunteer and ancillary departments.
Ability to keep current on all policies, procedures and regulations affecting Patient Accounts operations through departmental training and staff meetings.
Ability to maintain regular and punctual attendance.
EDUCATION AND EXPERIENCE: High school diploma or equivalent required. Prior experience in healthcare or customer service preferred. Must be 19 years of age to witness legal consents. PHYSICAL REQUIREMENTS: (Physical Requirements are based on federal criteria and assigned by Human Resources upon review of the Principal Job Functions.) (DOT) - Characterized as sedentary work requiring exertion up to 10 pounds of force occasionally and/or a negligible amount of force frequently to lift, carry, push, pull, or otherwise move objects, including the human body.
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