Responsibilities

Performs patient accounting customer services including the review, follow-up, resolution and response to customer requests and issues, and provides collection support to promote excellent customer relations. Analyze reimbursement methodologies; ensure compliance issues are adhered to in accordance with State and Federal regulations. Collects receivables for patient care services, identifies processes, discounts, and settlements in order to ensure an adequate and constant cash flow and support the financial viability of the Elevate ENT Partners.

Collection:

• Collects monies due from patients and payers in order to ensure financial reimbursement for services rendered and supports employee’s questions.
• Reviews the account to identify the Care Center that rendered service, that is responsible for account payment and account status: i.e. non-insured, co-insured, 3rd party payment, according to department standards.
• Reviews payment status and contacts responsible parties by phone/correspondence to arrange payment for services according to department standards.
• Obtains financial information from responsible party/person and updates in the appropriate application to ensure that the patient responsibility portion can be billed accurately and timely.
• Negotiates payment plan for self-pay accounts according to Elevate ENT Partners policy and procedure.
• Demonstrates the ability to identify and escalate to management problematic collection accounts.
• Meets defined productivity standard.

Customer Service

• Responds to customer patient accounting needs and requests and provides related services to meet the needs of Elevate ENT Partners patient customers, enhance the department's image, ensure quality services, and expedite and maximize reimbursement opportunities. Demonstrates proper telephone etiquette and excellent techniques with walk ins.
• Maintains regular contact with patients to explain status of accounts.
• Routes problems/issues beyond scope of responsibility to appropriate department personnel and management.
• Provides information to patients/responsible parties regarding bills or status of payments.
• Documents customer service conversations in the system.
• Acts as advocate for patients in resolving issues and conflicts with payers and Elevate ENT Partners processes.
• Provides copies of bills and related correspondence to customers upon request.

Account Maintenance/Adjustments

• Maintains patient accounts to support accurate net-accounts receivable in accordance with policy.
• Analyzes payments to ensure that they are accurately reflected and communicates with supervisor any suspicious variances.
• Enters demographic and financial changes, comments and adjustments in the appropriate application within the designated field. Performs rebills and updates corresponding accounts, as needed.
• Demonstrates the ability to understand system application ability/inability to perform certain allowances and to manually perform these allowances to ensure account integrity.

Requirements

• Minimum 2 years of medical billing experience
• Experience/knowledge of HMO/PPO/Medicare/Medicaid billing requirements
• Knowledge of IDX preferred but not required
• Excellent communication skills written and oral
• Knowledge of ICD-10 and CPT codes required
• ENT billing experience preferred but not required
• Bilingual (English/Spanish) a must.

AAP/EEO Statement
In order to provide equal employment and advancement opportunities to all individuals, employment decisions at Elevate ENT Partners will be based on qualifications and job related abilities. Elevate ENT Partners does not discriminate in employment opportunities or practices on the basis of race, color, religion, sex, national origin, age, disability, ancestry, sexual orientation, marital status, gender identity or any other characteristic protected by law. Elevate ENT Partners will make reasonable accommodations for qualified individuals with known disabilities unless doing so would result in undue hardship.

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