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Patient Advocate (Health Insurance)- San Bernardino, CA

Company: Air Methods
Location: San Bernardino
Posted on: November 10, 2018

Job Description:

Job Summary Responsible for acting as a Patient Advocate throughout the billing lifecycle. Educate patients on the billing process, get patients involved in contacting their insurer, monitor high risk/sensitive accounts to prevent patient dissatisfaction, resolve or escalate patient complaints, and field incoming calls. Responsible for educating patients on insurance/payment options. Essential Functions and Responsibilities include the following: * Perform outgoing call campaigns intended to engage patients during insurance billing lifecycle. Review account and thoroughly document patient interactions. * Assist patients with appeal or reprocess of underpaid claims thoroughly, accurately, & promptly. * Manage all incoming calls from patients, insurers, and other interested parties, transferring calls to other departments. Review account and thoroughly document patient interactions. * Manage caseload of individual patient accounts where high-risk/sensitive * Responsible for knowing payor billing and collection guidelines, fee schedules, etc. * Resolve patient complaints where possible, escalate to team lead where unable to resolve * Provide information to patients about payment options and/or process payments or payment plans in the event there is a remaining patient balance. Transfer to Self-Pay department in the event there is a final patient balance and is a true collection effort. * Other duties as assigned Additional Job Requirements * Regular scheduled attendance * Indicate the percentage of time spent traveling: 0% Subject to applicable laws and Air Method's policies, regular attendance is an essential function of the position. All employees must follow Air Methods' employment practices and policies. Supervisory Responsibilities This position has no supervisory responsibilities. Qualifications To perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. In accordance with applicable laws, Air Methods will provide reasonable accommodations that do not create an undue burden so disabled employees may perform the essential functions of the position. Education & Experience * High school diploma or general education degree (GED) required; and one to two years' related experience and/or training; or equivalent combination of education and experience * 1-2 years' experience in a customer service organization preferred * Previous call center experience preferred * 3-4 years medical billing and claims reimbursement experience * Knowledge of Medicare, Medicaid, Managed Care, Private Insurance, and Auto Insurance process and requirements preferred Skills * Excellent written and verbal communication skills * Advanced customer service and phone skills to include compassion, empathy, and respect * Negotiation skills allowing for assertive and convincing account resolution * Excellent problem-solving and analytical skills * Ability to multi-task efficiently, work in a fast-paced environment on multiple projects, and with a strong attention for detail Computer Skills * Proficient with Microsoft Suite, including Word, Excel, PowerPoint and Outlook Air Methods is an EEO/AA employer. Qualified applicants will receive consideration for employment withoutSDL2017

Keywords: Air Methods, San Bernardino , Patient Advocate (Health Insurance)- San Bernardino, CA, Healthcare , San Bernardino, California

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