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About the Role

Prepares estimates for medical services prior to treatment, educates patients, and collects payment when appropriate. Works with the Infusion Coordinator Supervisor to ensure all charges and benefits are applied correctly for infusion medications. Carries out all duties while maintaining compliance and confidentiality and promoting the mission and philosophy of the organization.

Responsibilities

Utilizes Medical Present Value’s Patient Responsibility Pricer application to prepare estimates for medical services.
Obtains appropriate eligibility and benefits information and creates estimates.
Contacts patients to provide a verbal estimate and attempts pre-collection of the patient responsible amount.
Advises patients that the estimate may not reflect all charges as they vary based on services provided.
Educates patients on their financial responsibilities.
Mails a formal copy of the estimate and a letter to the patient.
Documents details in account notes.
Obtains patient’s signature on estimate and attempts to collect patient responsible amount if patient is present.
Maintains file copies of estimates.
Returns telephone calls within established department timeframes.
Interacts with providers’ office and billing office staff.
Reviews and submits correct claims for infusion services to insurance payors.
Assists patients in obtaining pharmaceutical assistance for infusion medications.
Prepares and posts insurance EOBs for reimbursement from assistance plans.
Posts EFT payments into Epic.
Receives inbound telephone calls from internal and external customers.
Asks appropriate verification questions prior to releasing confidential patient information.
Reviews explanation of benefits documents and explains information to patients/customers.
Provides financial counseling service/payment arrangements to walk-in patients with outstanding account balances.
Documents all actions in the Account Notes.
Receives patient refund request information and forwards to Refunds processing.
Reviews account transactions for accuracy.
Uses appropriate transaction and ANSI codes per Posting guidelines.
Reviews and documents patient correspondence.
Contacts patients to acknowledge receipt of correspondence in a timely manner.
Obtains updated insurance information and forwards to the Registrations unit for eligibility verification.
Utilizes Payor Websites efficiently and maintains confidential security passwords.
Receives credit card payments via telephone and posts payment accordingly.
Establishes payment plans per Payment Agreement guidelines.
Works closely with Collections Department and/or directly with Customers on payment of balances due.
Sets up accounts with payment plan information and clearly documents the terms of the agreement.
Consults with Supervisor prior to offering discounts for non-covered services.
Meets 1106 collections expectations.
Performs all of the tasks of the PSC and Sr. PSC as needed or assigned.
Adheres to all company policies, including but not limited to, OSHA, HIPAA, compliance and Code of Conduct.
Maintains regular and dependable attendance.
Follows the core competencies set forth by the Company.
Works holiday shift(s) as required by Company policy.
Assists supervisor with disputed accounts which may require additional follow up and/or rework.
Keeps complete, accessible, and current Payor information.
Provides assistance to coworkers as requested and/or necessary.
Responds professionally and effectively to questions from external and internal sources.
Attends required inservices/training sessions/department meetings.
Meets performance competency standards for Registrations and Patient Accounts.
Performs other duties as assigned.

Requirements

High school diploma or GED.
Two or more years of infusion medical billing experience.
Experience with CPT and ICD coding.

Skills

Knowledge of legislative and private sector third party regulations and guidelines.
Excellent verbal and written communication skills.
Ability to sit for extended periods of time at a computer workstation.
Ability to engage others, listen and adapt response to meet others’ needs.
Ability to align own actions with those of other team members committed to common goals.
Excellent computer and keyboarding skills, including familiarity with Windows.
Ability to manage competing priorities.
Ability to perform job duties in a professional manner at all times.
Ability to understand, recall, and communicate, factual information.
Ability to understand, recall, and apply oral and/or written instructions or other information.
Ability to organize thoughts and ideas into understandable terminology.
Ability to apply common sense in performing job.

Location

Central Texas

Work Type

Full-time

Experience Level

Two or more years of experience

Education Level

High school diploma or GED
Some higher education (preferred)

Benefits

Medical
Dental
Vision
Flexible Spending Accounts
PTO
401(k)
EAP
Life Insurance
Long Term Disability
Tuition Reimbursement
Child Care Assistance
Health & Fitness
Sick Child Care Assistance
Development

About the Company

Austin Regional Clinic has been voted a top Central Texas employer by our employees for over 15 years!
We are one of central Texas’ largest professional medical groups with 35+ locations and we are continuing to grow.