Serves as Professional Physical Therapy’s primary contact for all patient billing inquiries and liaison between PPT, patients, providers, and payers for account resolution.
Accepts all payments and handles inbound and outbound calls to resolve caller concerns within response-timeframes.
Assists patients in understanding billing statements to resolve outstanding balances.
Makes necessary charge corrections to accounts to ensure accurate patient ledgers.
Utilizes tools/resources to resolve patient inquiries while on the phone or when preparing/reviewing billing correspondence.
Communicates EOB details and has in-depth understanding of payer regulations/requirements.
Navigates Raintree and the Raintree ledger; ensures all accounts are documented accurately.
Follows management-developed scripts to facilitate consistent and expedient account resolution.
Reviews returned mail, verifies addresses, updates demographics in Raintree, and re-sends statements as needed.
Responds to patient benefit questions, reviews Raintree TVBEN, uses insurance websites, and follows up with other departments.
Completes written responses to patients and customers regarding account resolution and complaint recovery.
Assists Customer Service team with patient balances and statement review; may assist with authorizations and benefit verification.
Works with insurance carriers for claims follow up and status of outstanding bills.
Uses reports from Raintree and Yellowfin to ensure accuracy and reviews collection files prior to sending to collections.
Provides support to staff for all functions of the RCO and identifies/rectifies potential problems within projects.
Maintains working knowledge of HIPAA, OSHA, Risk Management, and compliance regulations; practices confidentiality and attends company meetings.
Performs other duties as assigned by RCO Management.
Requirements
Previous work experience (minimum three years) with healthcare customer service required.
Bachelor’s degree preferred.
Fully proficient in Raintree Navigation.
Must demonstrate consistency in exceeding productivity goals.
Strong organizational and time management skills are required.
Establishes a collaborative environment capitalizing on employee talents, experience, interests, and diversity to reach high performance.
Embraces diversity within the work environment and consistently deals with internal and external customers in a friendly and respectful manner; supports teamwork and cooperation with work partners in daily activities.
Excellent analytical and problem-solving skills.
Excellent communications skills are required.
Ability to work independently and follow-through and handle multiple tasks and/or special projects simultaneously.