Offer description

Position Summary and Scope: This position is responsible for ensuring that patient collections are effectively resolved and accurately processed in a timely manner.

Key Duties and Responsibilities:

1. Develop and maintain a working knowledge of current HME products and services offered by the company and all applicable insurance guidelines respecting eligibility for coverage and reimbursement

2. Demonstrated ability to identify different claim types (e.g. INN/OON claims)

3. Take incoming calls from patients regarding outstanding amounts owed

4. Effectively communicate with patients regarding insurance benefits and patient-pay responsibility

5. Investigate any billing issues patients have whether that is insurance or self-pay related (if insurance-related pass along to the appropriate insurance collections workgroup)

6. Maintain accurate patient charts when detailing call content and actions

7. Process patient payments including payment plans and credit cards

8. Effectively balance transfer paid patient amounts

9. Process any related patient pay correspondence (PDPT, MPP, and EOB letters)

10. Coordinate any required discussion on an insurance Explanation of Benefits advice with patient and peers

11. Request and coordinate missing claim information with peers

12. Successfully identify collection accounts and coordinate with peers

13. Assist patients in creating their online accounts and resetting the password

14. Assist patients with claim status calls to their insurance company

15. Print an EOB letter with patient invoices

16. Provide backup to customer service when needed

17. Advise supervisor of any recommended change to policy or procedure stemming from issues being presented at the patient pay level.

Skills and Abilities Required:

1. Working knowledge of Microsoft Office (Mail, Word, Excel) and Internet browsing.

2. Well organized, detailed oriented with excellent follow-through.

3. Ability to complete tasks within a given time frame. Fosters a sense of urgency and follows through to resolve outstanding issues in a timely manner.

4. Works well with others regardless of their level or background; is respectful; maintains positive relationships even under stressful or difficult circumstances; deals with different points of view or disagreements in a constructive, successful manner.

5. Ability to function well while involved in multiple task assignments and in a fast-paced environment.

6. Anticipates and prepares for short and long-term challenges/trends; sees how his/her work relates to others as well as the organization as a whole; understands implications of decisions; translates ideas and concepts into practical applications.

7. Language: Intermediate ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence.

8. Reasoning: Intermediate ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.

Skills and Abilities Required:

1. College level/graduate or equivalent, RN's or any medical-related course is an advantage

2. Medical terminology and medical insurance industry experience preferred

3. Experience with Brightree software preferred

4. Familiarity with home medical equipment and related supplies preferred

5. Knowledge of major insurance carrier reimbursement guidelines and coverage (preferred)

Technical Requirements:

Computer hardware:

• Windows Computer (Desktop or laptop) no MAC Computer

• At least Intel i5 preferably or equivalent

• Must have 8GB RAM

• Must have at least 30GB of free disk space available

• Dual Screen Display monitor

• One available USB port for the headset

• One Noise-canceling headset like Plantronics or Jabra

Computer Software:

• Operating system must be Windows 10 Pro only (No Windows 7 or Mac)

• Must have the latest windows updates

• Must have an antivirus installed and updated

• There MUST be no Possible Unwanted Applications (PUA, Malware, or adware)

• Need to have Chrome browser installed

• Need to have WVD Client Installed

• Need to have MS Teams Installed

• Need to have MS Office 365 installed

• PDF reader (optional)

Internet Service:

• Should have cable or fiber internet service.

• Minimum Upload Speed (25mbps)

• Minimum Download Speed (25mbps)

Network:

• Computer must be connected via LAN at least 100MBPS

• Good reception for WiFi

Requirements

• Minimum education level: Vocational
• 1 year of experience
• Language(s): English
• Knowledge: Customer service, Customer Support
• Availability to travel: Yes
• Availability of change of residence: Yes

More than 30 days ago

About CLASSIC SLEEPCARE IT SERVICES INC.

Healthscope (Classic SleepCare) was formed in August of 2006 by Robert Fallan and Robert Brough with the spirit and intention of doing what’s in the best interest of patients suffering with sleep apnea.

The Company started with only a few employees in a small office in Agoura Hills, California and now employs staff over 30 US states to provide care and support to over 20,000 patients suffering with sleep apnea.

Our office is located ...

Healthscope (Classic SleepCare) was formed in August of 2006 by Robert Fallan and Robert Brough with the spirit and intention of doing what’s in the best interest of patients suffering with sleep apnea.

The Company started with only a few employees in a small office in Agoura Hills, California and now employs staff over 30 US states to provide care and support to over 20,000 patients suffering with sleep apnea.

Our office is located at Agoura Hills, California and Las Vegas Nevada, Ortigas Center, Pasig City and Angeles City, Pampanga.