What are the responsibilities and job description for the Patient Support Specialist position at Premier Medical Associates?
Job Summary: Assist in enrollment and billing services, while helping patients get medical coverage, financial assistance and social services benefits.Responsibilities & Duties:Responsible for managing and resolving open balance accounts.Prepare, submit and follow up on insurance appeals.Stays current on insurance policies and procedure.Works open balance accounts as assigned.Prepare and submit appeals on denied charges based on insurance plan requirements.Follow up on unpaid charges and determine best method to collect open balances quickly.Make corrections to charges as needed based on medical documentation (i.e. add modifiers, duplicate denials, correction of date of service, diagnosis corrections).Maintain copies of pertinent documents until resolution of charge(s).Respond to insurance or patient telephone inquiries and correspondence regarding claims/reports.Handle inbound patient billing and making outbound collections phone calls.Update account information as needed.Correct and update patient demographics accordingly.Expand knowledge by participating in company and office educational initiatives.Must possess emotional maturity and stability to approach highly stressful situations in a calm and rational manner.Use critical thinking to make sound clinical decisions.Adhere to ethical standards of conduct as well as applicable state and federal laws.Provide effective oral or written nonverbal communication with patients and their families, colleagues, and health care providers.Perform other duties as assigned. Qualifications & Skills: High school diploma or GED equivalent.One to two year previous working experience with third party payers in medical billing appeal/denial process.Experience in patient service within a health care organization.Working knowledge of medical billing software and internet.Working knowledge of CPT and ICD-9 coding procedures including CCI, NCD, and LCD edits.Basic knowledge of medical terminology.
