Revenue Cycle Patient Liasion bei Advocare LLC

Description

The Revenue Cycle Patient Liaison assists patients and their caregivers with any non-medical questions or concerns. 

Revenue Cycle Patient Liasion Essential Responsibilities

• Serves as primary contact for patient billing issues
• Acts as a liaison with the Patient, the Call Center, and the Care Centers to ensure resolution in billing issues and patient account discrepancies
• Thoroughly analyze individual claim inquiries (Authorization/Mismatch Denials; COB; Credentialing, etc.) to assist patients in resolving their concerns
• Perform insurance verification via appropriate platforms – i.e. Availity, PEAR, NaviNet, UHC, etc.
• Update patients’ insurance in eClinicalWorks (eCW) as identified. Verify insurance benefits and request the eCW RCM Team to submit to the payer(s)
• Follow up with patients on their billing concerns in a prompt and professional manner
• Participate in the evolution and refinement of quality improvement processes
• Maintain compliance with government regulations and industry requirements
• Other duties as assigned

Required Competencies (Knowledge, Skills and Abilities) 

The requirements listed below are representative of the knowledge, skills and abilities required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. 

• Excellent customer service skills. 
• Effective verbal and written communication skills.
• Working Knowledge of Medical Terminology.
• Working knowledge of medical insurances to include insurance cards, major medical benefits and insurance rules.
• Demonstrates professionalism, confidentiality, and diplomacy.
• Ability to establish and maintain effective working relationships with a diverse group of people at all levels of the organization. 
• Commitment to excellence and high standards.
• Detail oriented with strong follow-up initiative.

Benefits

• Multiple Medical and Prescription Coverage options
• Dental and Vision care plans
• Health Savings Accounts (HSAs)
• Flexible Spending Accounts (FSAs)
• Voluntary Critical Illness, Cancer, and Accident Insurance
• Voluntary Hospital Indemnity coverage
• Voluntary short-term and long-term disability insurance
• Voluntary term life insurance and AD&D (Accidental Death & Dismemberment)
• 401(k) retirement savings plan
• Paid time off (PTO)
• Group Auto and Homeowners Insurance

Travel

• Hybrid role with occasional commute to the office  

Requirements

Required Education and Experience

• Working knowledge of medical insurance/medical terminology; insurance cards and major medical benefits; insurance rules and contracts.
• Basic business skills with a moderate level of proficiency, including a basic knowledge of Microsoft Office.
• Technical competence includes the ability to learn new software and systems.
• Accurate and precise attention to detail.
• Ability to multitask, prioritize, and manage time efficiently.
• Goal-oriented, organized team player.

Preferred Education and Experience

• eCW (eClinicalWorks) experience.
• Two years of experience as a medical biller.
• Two years of medical office experience.