Patient Services Representative 2 (remote)

Patient Services Representative 2 (remote)

Atlanta, Georgia - Additional locations

Additional Locations: Atlanta, Georgia, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, Oregon, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Oklahoma, Alabama, Alaska, Arizona, Arkansas, California, Connecticut, Washington, DC, Delaware, Florida, Georgia, Hawaii, Idaho, Illinois, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio Atlanta, Georgia, United States of America; VIRTUAL, Pennsylvania, United States of America; VIRTUAL, Rhode Island, United States of America; VIRTUAL, South Carolina, United States of America; VIRTUAL, South Dakota, United States of America; VIRTUAL, Tennessee, United States of America; VIRTUAL, Texas, United States of America; VIRTUAL, Utah, United States of America; VIRTUAL, Vermont, United States of America; VIRTUAL, Virginia, United States of America; VIRTUAL, Washington, United States of America; VIRTUAL, West Virginia, United States of America; VIRTUAL, Wisconsin, United States of America; VIRTUAL, Wyoming, United States of America; VIRTUAL, Massachusetts, United States of America; VIRTUAL, Michigan, United States of America; VIRTUAL, Minnesota, United States of America; VIRTUAL, Mississippi, United States of America; VIRTUAL, Missouri, United States of America; VIRTUAL, Montana, United States of America; VIRTUAL, Nebraska, United States of America; VIRTUAL, Nevada, United States of America; VIRTUAL, New Hampshire, United States of America; VIRTUAL, Oregon, United States of America; VIRTUAL, Indiana, United States of America; VIRTUAL, Iowa, United States of America; VIRTUAL, Kansas, United States of America; VIRTUAL, Kentucky, United States of America; VIRTUAL, Louisiana, United States of America; VIRTUAL, Maine, United States of America; VIRTUAL, Maryland, United States of America; VIRTUAL, Oklahoma, United States of America; VIRTUAL, Alabama, United States of America; VIRTUAL, Alaska, United States of America; VIRTUAL, Arizona, United States of America; VIRTUAL, Arkansas, United States of America; VIRTUAL, California, United States of America; VIRTUAL, Connecticut, United States of America; VIRTUAL, District of Columbia, United States of America; VIRTUAL, Delaware, United States of America; VIRTUAL, Florida, United States of America; VIRTUAL, Georgia, United States of America; VIRTUAL, Hawaii, United States of America; VIRTUAL, Idaho, United States of America; VIRTUAL, Illinois, United States of America; VIRTUAL, New Jersey, United States of America; VIRTUAL, New Mexico, United States of America; VIRTUAL, New York, United States of America; VIRTUAL, North Carolina, United States of America; VIRTUAL, North Dakota, United States of America; VIRTUAL, Ohio, United States of America

The role is responsible for communicating by phone with patients and insurance companies for the purpose of collecting and managing accounts receivable. The Patient Services Representative Level 2 ensures the timely receipt of claim payments and minimizes bad debt accrual. In this capacity, the PSR 2 provides outstanding customer service and collection activities through efficient, effective communication and resolution of the outstanding accounts receivable balance.

What will be my duties and responsibilities in this job?

Handles patient and insurance inquiries associated with specific patient accounts, including identification and resolution of billing discrepancies when reviewing the account.

Effectively communicates with inbound and outbound guarantors/patients or insurance companies as to the status of the account and answers questions or inquiries efficiently.

Adheres to HIPAA, PCI, and Change Healthcare Policies and Procedures.

Answers or makes inbound/outbound calls in a fast-paced environment; handles difficult situations while maintaining quality customer service and expected.

Responsible for working self-pay and insurance receivables and related payments for the client. Effectively work accounts receivable to optimize cash flow and to meet organizational financial goals and objectives.
Establishes budget plans or payment arrangements with established guidelines and policies.

Accurately documents all follow-up activities pertaining to each specific account in the CHC Workflow tool(s) concisely, completely and/or takes action in the client system as directed.

Handles escalation calls/accounts as necessary and appropriately de-escalates call to ensure patient/client satisfaction.

Accepts special projects, assignments and instructions in a professional manner, and sees them through to completion of identified goals.

Performs tasks conscientiously and thoroughly while adhering to established goals and objectives.

Responsible for updating patient demographics and insurance information.

Responsible for working correspondence, edits and aged account receivable and identifying problem accounts to CHC leadership.

Responsible for resolving and/or appealing denials and rejections.

Responsible for identifying billing/system/collections issues or trends and reporting them to management.

Assisting other representatives with client and/or procedural related questions.

Meets productivity and accuracy standards as established by management.

Other duties as assigned by the Change Healthcare Leadership members.

What are the requirements needed for this position?

1+ years of medical revenue cycle experience.

Experience with patient information/claims system reimbursement processes.

Thorough knowledge and understanding of healthcare billing and collection practices and methodologies in an automated environment.

Knowledge of healthcare billing and/or collections practices.

Working knowledge of insurances and general reimbursement types: PPO, HMO, Indemnity, Medicare, Medicaid, Workers’ Compensation.

Must possess excellent customer service and communication skills along with good math skills, ability to read, understand and follow verbal and written instructions; possess basic computer skills (Internet Explorer, Microsoft Outlook, Microsoft Word and Microsoft Excel).

What other skills/experience would be helpful to have?

Dependable

Professional phone etiquette

Ability to multitask in a fast-paced environment

Negotiation and problem-solving skills

Time management and organizational skills

Display a positive attitude

Effective written and oral communication skills

Strong interpersonal skills.

What are the working conditions and physical requirements of this job? 

Work-from-home, quiet workspace needed, high speed internet required (no satellite internet).

Fulltime, 40 hours weekly. Monday through Friday. The following work hours are available:4x10 schedule which includes working up until 9pm EST4x10 schedule which includes working up until 8pm EST8am-5pm ESTSplit day schedule working up until 9pm ESTSplit day schedule working up until 8pm EST.

Join our team today where we are creating a better coordinated, increasingly collaborative, and more efficient healthcare system!

COVID Mandate

As a federal contractor, Change Healthcare is adhering to the Executive Order which mandates vaccination. As such, we are requiring all U.S. new hires and employees to show proof of being fully vaccinated for COVID-19 or receive an approved accommodation by their date of hire, as a condition of employment. 

As we continue to navigate the ever-changing COVID-19 pandemic, we remain committed to doing our part to ensure the health, safety, and well-being of our team members and our communities. Proof of vaccination or accommodations requests will be collected once an offer is accepted with Change Healthcare. All accommodation requests will be carefully considered but are not guaranteed to be approved.