Insurance Authorization Specialist III
WVU Medicine
Ruby
Patient Accounts Manager
Soleo Health
full-time
Posted on:
Origin: • 🇺🇸 United States
Visit company websiteSalary
💰 $60,000 - $75,000 per year
Job Level
Mid-LevelSenior
About the role
- Generates billing statements for patients with balances remaining after all third party payments are received
- Works in tandem with the branches to identify exceptions or special circumstances related to the patient’s outstanding balance
- Communicates with patients regarding overdue balances, payment arrangements, and other billing concerns or inquiries
- Establishes and documents payment arrangements for patients with outstanding balances and monitors adherence to agreed upon collection schedules
- Manages the Patient Accounts Receivable including balances for copay/deductibles, Soleo Financial Assistance, and self-pay patients
- Performs necessary adjustments to invoice balances after all collection efforts have been exhausted
- Prepares patient refunds, as necessary
- Identifies and transfers delinquent patient accounts to the Company’s collection agency
- Creates and develops procedures for the efficient management of the Patient Accounts Receivable
- Develops strategies and new techniques to reduce bad debt losses, including recommended changes to billing and collection practices
- Manage the Mfg Co Pay A/R for prompt collections
- Manage the Soleo Financial Assistance Program, review incoming applications for final approval or denial and maintain the SAP Master Log
- Work with the Procurement Department to identify lost/missing DME and track the products though the collections process
- Ensures compliance with federal, state, and local governments, third party contracts, company policy, and general accounting practices
- Completes all necessary managerial tasks for direct reports including hiring, training, addressing performance issues, developing team goals and objectives, performance reviews, conflict resolution, and strategic planning
- Other duties as requested
Requirements
- Bachelor’s Degree preferred
- High school diploma (or equivalent) required
- Minimum 3-4 years Reimbursement Management and/or Supervisor experience in an Infusion setting
- Knowledge of financial accounting, HIPAA guidelines, federal, state, and local regulations related to healthcare providers, billing and collections
- At least 3 years of experience with reimbursement processes (Billing, collections, receivable analysis, and audit techniques)
- Experience taking initiative and executing processes resulting in expected outcomes
- Experience with analyzing and reporting data in order to identify issues, trends, or exceptions to drive improvement of results
- Experience providing customer service to internal and external customers, including meeting quality standards for services, and evaluation of customer satisfaction
- CPR+ systems experience a plus
