Melville,NY - USA

Position Requirements

RESPONSIBILITIES:

Inbound and Outbound Communication

• Efficiently manage inbound and outbound calls, ensuring high-quality service and responsiveness to patient needs.
   

Issue Analysis and Resolution

• Analyze Explanation of Benefits (EOB) documents to understand and resolve billing issues.
• Utilize critical thinking and problem-solving skills to address and resolve patient inquiries quickly.
• Effective Communication: Provide clear explanations to patients regarding their insurance claims and coverage. Identify and escalate complex issues to the correct department for timely resolution.
   

Financial Reviews and Adjustments

• Self Pay Credit Balance Review: Ensure accounts have been reviewed and worked on for outstanding balances.
• Adjustment posting: Post adjustments after accounts have been reviewed and deemed necessary.
• Collection Review: Remove accounts from collections upon review.
• Collection Agency Reports: Review reports daily.
• Bankruptcy Reviews: Conduct reviews of accounts to ensure the final financial status of bankruptcy is valid.
• Price Quotes and Estimates: Deliver accurate and prompt self-pay price quotes and financial estimates to patients, enabling them to make informed decisions regarding their care.
   

Workqueue Reviews

• Bad Address Review: Review statement edits in Self Pay Open Workqueue in Athena to ensure accounts have been appropriately worked in conjunction with the billing cycle.
• Correspondence Open Task Workqueue: Review accounts in Athena to ensure proper assignment and follow-up.
• Self Pay Open Workqueue: Review statement edits, debit statement balance, credit account balance, and invalid statement totals.
• Hold Bill/Alert Open Workqueue: Review accounts that need to be worked due to incomplete registrations.

REQUIRED QUALIFICATIONS

• Proven experience in customer service, preferably in a healthcare or financial setting.
• Strong understanding of medical billing processes and insurance-related documentation.
• Excellent communication and interpersonal skills.
• Ability to work effectively both independently and as part of a team.
   

PREFERRED QUALIFICATIONS

• Associate degree; or High School diploma
• Experience with AthenaIDX or similar Medical Billing platform
• Experienced in Medical Billing

Total Rewards:

• Salary: $21.92- $30.13 per hour
• Generous benefits package, including:
• Paid Time Off
• Health, life, vision, dental, disability, and AD&D insurance
• Flexible Spending Accounts/Health Savings Accounts
• 401(k)
• Leadership and professional development opportunities

The Patient Advocate II is crucial in managing patient communications related to billing and insurance queries. This role involves efficiently handling both inbound and outbound calls, providing accurate self-pay price quotes and estimates, and promptly resolving patient inquiries through informed decisions and coordinated efforts. Building on the foundational responsibilities of the Patient Advocate I’s position; this role requires advanced skillsets to deliver enhanced service and support to our patients.

EEO Statement

North American Partners in Anesthesia is an equal opportunity employer.