SUMMARY:

Responsible for providing quality and efficient financial service to patients through the daily management of assigned tasks. Oversees financial status of patients scheduled to be seen at Brown Health Medical Group Facility.  Maintains insurance information for maximum billing reimbursement. Assist patients with billing questions; one on one, in a private area, maintaining patient confidentiality.  Performs in accordance with the facility’s policies and procedures.  Follows the facility’s standards for ethical business conduct. Conducts self as a positive role model and team member. Participates in facility committees, meetings, in-services, and activities.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

Brown University Health employees are expected to successfully role model the organization’s values of Compassion, Accountability, Respect, and Excellence as these guide our everyday actions with patients, customers and one another.

Review schedule of upcoming patients 3 days prior to scheduled visit.  Flagging patients that will potentially need to be directed to business representative area.

Contact patients on past due balances when scheduled to be seen at specific site.

Counsel patients and families regarding financial issues with insurance and verify eligibility.

Be available for patients that experience billing problems, provide appropriate coaching, counseling, direction and resolution.  Assist with any questions patients may have and call insurance representative at billing office regarding any issues that deem necessary.

Call patients for collection purposes as a segment of the aged trial balance report.

Maintain insurance information in system ensuring prompt reimbursement for claims.

Work closely with billing office for transfers, re-bills of services and relay findings.  Have access to internet for insurance verification, access to the billing segments of Versyss and Versyss passwords.

Keep Supervisor promptly and fully informed of all problems or unusual matters of significance and take prompt corrective action where necessary or suggest alternative courses of action that may be taken.

Project a favorable image of Brown Health Medical Group to promote its aims and objectives and enhance public recognition and acceptance of all its areas of endeavor.

Perform all duties and responsibilities in a timely and effective manner in accordance with established company policies to achieve the overall objectives of this position.

Perform other duties and responsibilities as required or requested with prior approval from Director of Patient Business Services.

Performs other duties as assigned.

EDUCATION:

Associates degree or equivalent

EXPERIENCE:

3 -5 years previous third-party liability billing experience.

Experience in a customer focused organization.

Working knowledge of healthcare industry.

Knowledge of third-party liability billing and collections.

Strong interpersonal and communication skills, self-motivated/direct, organizational skills, ability to exercise independent judgment based upon established policies, protocol or practices.

Ability to provide and support a vision and direction to Brown Health Medical Group patients.

SUPERVISORY RESPONSIBILITY:

None.

Pay Range:

EEO Statement:

Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.

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Driving Required: