Patient Claims Specialist

Patient Claims Specialist

Requirements

• High School Diploma or GED required
• Minimum of 1-2 years of previous healthcare administration or related experience required
• Basic understanding of medical billing claims submission process and working with insurance carriers required (e.g., Medicare, private HMOs, PPOs)
• Manage/ field 60+ inbound calls per day
• Proficient knowledge of business software applications such as Excel, Word, and PowerPoint
• Strong communication and interpersonal skills with an emphasis on the ability to work effectively over the telephone
• Ability and openness to learn new things
• Ability to work effectively within a team in order to create a positive environment
• Ability to remain calm in a demanding call center environment
• Professional demeanor required
• Ability to effectively manage time and competing priorities

Responsibilities

• Serve as primary contact for all inbound and outbound patient calls regarding patient balance inquiries, claims processing, insurance updates, and payment collections
• Initiate outbound calls to patients of RCM clients to understand and address any account/payment issues, such as demographic and insurance updates
• Input and update patient account information and document calls into the Practice Management system
• Special Projects: Other duties as required to support and enhance our customer/patient-facing activities

Preferred Qualifications

• Bilingual a plus (Spanish & English)