Homeoffice Patient Financial Services Associate bei MedQuest Associates LLC

Responsible for verification of patient eligibility, the pre-certification of services as required, the confirmation of patient appointments including scan screening, NPO instructions, pre-collection, and directions.

• Verify patient’s insurance status and benefit eligibility
• Accurately determine the patient un-met deductible, co-insurance, and co-payment amounts
• Accurately and timely provide for any pre-authorization or pre-certification of services.
• Make confirmation phone calls to:  Confirm Appointment Date, Time, Location; Screening, NPO Instruction, and Pre-Collection of services
• Coordinate all patient communication with Front Desk Staff
• Provide high level of customer service with goal of maintaining a low cancellation rate while increasing Time of Service collection rates.
• Meet established Work Value Units (WVU) productivity standards. 

Required knowledge, skills and ability:

• Medical Terminology & Insurance:

• Ability to understand basic medical terminology

• Knowledge of pre-certification process for insurance companies
• Ability to calculate deductible and co-insurance correctly
•  

Core Competencies: 

• Commitment to Customer Care:  consistently delivers superior service to all customers including patients, physicians, payers and fellow MedQuest employees; takes personal responsibility to serve both internal and external customers so that everyone is treated with the utmost respect. 
• Results Oriented: Always shows initiative and reliability in getting the job done; differentiates between “activities” and getting results; focuses energy and effort on the right things so that tangible results are achieved, and goals are met.
• Personal Work Ethic:  Models highest regard for the industry’s ethical and professional standards; demonstrates pride and personal interest in being a part of the business so that the company’s value and reputation are enhanced.  Recognizes the symbiotic nature of giving one’s best to the company to get the best from the company.
• Building Business Partnerships:   Cooperates with others while acting independently to get the job done; takes ownership for establishing productive relationships with fellow employees to gain joint understanding of priorities so that the greater good of the organization is everyone’s first concern.
• Creativity and Judgment:  Seeks out (based on careful consideration of available facts) new or creative approaches to conducting business; takes advantage of business opportunities by using good judgment and applying creativity to overcome obstacles and increase effectiveness.

(Prioritized) Functional Competencies: to be selected and prioritized by the hiring manager for each position.

CONCERN FOR CONSISTENCY AND DETAIL

Definition:  Ensures that own and others’ work is complete, accurate and consistent so that highest standards are maintained and re-work is minimized.

• Consistently applies procedures and delivers consistent, error-free results especially under time pressure.
• Verifies accuracy of work before passing it along to a co-worker or submitting it to external constituents.
• Manages time and prioritizes work effectively; remains motivated to concentrate on routine work details.
• Recommends improvements to processes or procedures that will increase consistency and accuracy.

Demonstrates highest ethical standards when interpreting/coding medical information.

COMMUNICATION

Definition:  Conveys information and communicates effectively so that patient issues are addressed and resolved quickly and center staff/others are kept informed.

• Responds politely and cooperatively to patient requests when scheduling appointments or resolving billing issues.
• Strives to keep center staff up-to-date on AR processes and procedures.
• Finds creative and effective ways to educate center staff being mindful of the constraints of their work environment.
• Keeps center staff and/or supervisor appropriately informed of outstanding issues or concerns.
• Demonstrates tact and diplomacy when resolving issues with center staff.

COORDINATION OF WORKFLOW

Definition:  Keeps self and others updated about changes, modifications, amendments, adjustments, etc. that may affect accurate and timely workflow in order to avoid a negative impact on department efficiency and productivity.  

• Knows how his/her job relates to and impacts others in the department; acts on knowledge to keep others informed.
• Considers impact and involves others before making changes to processes or procedures.
• Conducts and/or attends regular meetings to keep informed about workflow/project status and priorities.
• Meets deadlines and understands impact of delays and absences on the work of others.
• Supports group decisions; remains positive.

Education:   

• High School Diploma or GED

  Experience:

• 2 years of experience