Patient Financial Services Specialist, Reimbursement Team - Revo Health
: Job Details :

The Patient Financial Services Specialist on our Reimbursement team is responsible for efficiently working accounts receivable (collections) for the organization.This is a full-time, benefits eligible position working Monday - Friday, 8:30 am - 5:00 pm at our Bloomington corporate office.Revo Health is a professional services company that partners with multiple healthcare groups to deliver exceptional patient care. This position will be employed by Revo Health, working closely with Infinite Health Collaborative (i-Health) and its operating divisions. We offer a comprehensive Medical, Dental & Vision Plan, Maternity Bundle, 401K with Profit Sharing, Tuition Reimbursement, Gym & Car Rental Discounts and more.Essential Functions:* Ensure professional communication with patients, clinic personnel, and outside vendors over the phone, via email or other written documentation and respond to all inquiries* Maintain a working knowledge of health care plan requirements and health plan networks* Verify and document insurance information as defined by current business practices* Accurately post all payments received from patients, attorney offices and/or insurance companies* Review Explanation of Benefits (EOB), research denials, rejections and/or excessive reductions* Ensure appropriate forms are used when requesting adjustments, insurance transfers or other specific account changes* Prepare, submit and ensure timely claim accuracy for all physician billing to third party insurance carriers either electronically or via hard copy* Make outbound phone calls to patients or insurance companies as follow up to unpaid, denied or rejected billing claims and document according to current policy* Take inbound calls from patients or insurance companies as follow up to unpaid, denied or rejected billing claims and document according to current policy* Review and work any credit balances to determine if patient and/or insurance company refund is applicable* Any and all other duties as assignedEducation and Experience Requirements:* High School diploma/GED or equivalent* Previous experience in a healthcare facility in relation to accounts receivable or billing practices preferredEssential Requirements:Ability to:* Comply with company policies, procedures, practices and business ethics guidelines.* Complete job required training.* Comply with all applicable laws and regulations, (e.g. HIPAA, Stark, OSHA, employment laws, etc.)* Demonstrate prompt and reliable attendance* Work in the office during business hours* Travel independently throughout the office (which may include movement from floor to floor); frequent bending, lifting, standing, stooping or sitting for long periods of time may be required* Work at an efficient and productive pace, handle interruptions appropriately and meet deadlines* Communicate and interact in a respectful and professional manner* Prioritize workload while being flexible to meet the expectations of the daily operations* Apply principles of logical thinking to define problems, establish facts, and draw valid conclusions* Understand and execute a variety of instructions* Effectively operate equipment and communicate on and operate the phone system* Work independently with minimal supervision* Travel to other work locations, if requiredPerformance Expectations - Revo Health's Core Values:* Integrity - Do the right thing and take responsibility for what you do and say* Service - Consistently contribute to deliver an exceptional experience* Quality - Act with high purpose, committed effort, and skillful execution to exceed expectations* Innovation - Identify progressive solutions that improve service, teamwork, efficiency, and/or effectiveness* Teamwork - Be a part of the whole; support each other positivelyEnvironmental Conditions:* Office settingNotes* Revo Health is a management services company that partners with multiple healthcare groups to deliver exceptional patient care. This position will be employed through Revo Health, working closely with Infinite Health Collaborative (i-Health) and its operating divisions.* Revo Health is an Equal Opportunity/Affirmative Action Employer and will make reasonable accommodations in compliance with the Americans with Disabilities Act of 1990 and the ADA Amendments Act of 2008.* This position description will be reviewed periodically as duties and responsibilities change. Essential and Additional Job Functions are subject to modification.