Helena, MT, 59626, USA
1 day ago
Call Center Representative - 1.0 FTE
JOB SUMMARY (overview of job): + Project a positive and helpful demeanor while working with patients, visitors, and staff. + Collect appropriate deposit, deductible and/or co-insurance amounts from patient/guarantor at pre-admit, admit, in house or at discharge. + Complete insured and uninsured patient estimates upon request. + Evaluate guarantor financial status, previous account information, eligibility tools, employment history, and all other income verification documentation, to determine the most feasible method of payment. + Gather and assess financial data to help determine patient eligibility for Medicaid, SSI, charity and other financial assistance programs while working cohesively with associated vendors (Such as a Medical Advocate). + Responsible for timely documentation of all pertinent information on the patient account. + Responsible for evaluating, tracking, and logging all patient assistance applications and HIPAA release of information forms + Maintain knowledge of resources available both inside St Peter’s and outside agencies to aid with patient issues. + Handle all incoming customer service questions to identify needs and issues. Including but not limited to charge explanation, relaying/explaining insurance activity, offering patient assistance and setting up payment plans. + Makes outbound calls to set up payment arrangements and follow up on delinquent accounts. + Manages accounts needing to be transferred to outside collections agencies + Processes patient correspondence, queries and disputes from our collection agencies + When needed with go to court proceedings to represent the hospital in collections of debts. + Maintain compliance with state and federal regulations as they relate to Patient Financial Services. + Responds to all Smart Sheet items assigned to them within 2-7 business days. + Logs all unresolved issues and refers to them to the business office management team. + Responsible for working daily inpatient uninsured lists timely. Including but not limited to patient assistance screening and getting ABN’s signed + Reconciles credit card transactions, daily cash drawer reconciliation. Post and deposits client billing payments from other departments. + Reports trending call issues to the QA Coordinator.
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