Patient Accounts & Work Comp Specialist
Location: Geneva, IL (On-Site for Training, Hybrid Available after Training)
Status: Full-Time (40 Hours/Week)
Days/Hours: Monday through Friday, 8:00 am - 4:30 pm or 8:30 am - 5 pm
Salary Range (based on experience): $19-$22/hr
Summary
Responsible for account follow-up for all assigned patient balances, resolving billing problems and answering patient inquiries. Sets up financial arrangements as needed. Uses collection techniques to keep accounts receivable current including monitoring for delinquent payments.
Essential Duties and Responsibilities
The essential duties and responsibilities include the following. Other duties may be assigned.
- Document all work activity accurately and professionally in the electronic health record (Athena One).
- Follow up on all unpaid insurance claims (corrected claims), including workers compensation.
- Maintain daily work log of outstanding claims needing follow up.
- Identify and recover outstanding balances on designated accounts listed on the aging report.
- Establish payment plans for outstanding balances.
- Correspond with insurance companies and/or patients to resolve questions they may have regarding a claim or balance.
- Obtain patient payments.
- Place alerts in patients charts of payments that need to be collected at time of service.
- Send Payment Report to Powers & Moon (3rd party liaison) each Monday.
- Send FVO (Fox Valley Orthopedics) Ambulatory Surgery Centers statements each Monday.
- Manage established patient payment plans in Phreesia each Friday.
- Handle all (phone, email, US mail) insurance correspondence, including workers compensation.
- Manage the monthly payment report from Merchants Credit Guide (MCG).
- Update patient collection accounts and communicate with collection agencies (ie MCG) as needed
- Provide surgery (surgeries performed at FVO ASC), injection procedures, and self-pay estimates with the assistance of Rivet.
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
Education and/or Experience
Required
- High school diploma or equivalent.
- Two (2) plus years of relevant accounts receivable, billing and/or collections work experience.
- Experience working with EHR (Electronic Health Record) system.
Preferred
- Undergraduate degree, preferably in business or a related and/or equivalent field of study.
- Previous work experience in a healthcare environment.
- Previous work experience in an ambulatory surgery center.