Patient Advocate - Medical Billing

The Patient Advocate is responsible for effectively managing the billing cycle for assigned client site(s) by working the 4 Cs: Charges Claims Cash and Collections to achieve Gold Standard Results. Accountable for reviewing charges for accuracy submitting clean claims posting and reconciling payments and resolving insurance and patient accounts receivables to payment resolution.

The Patient Advocate must be able to handle multiple simultaneous tasks effectively and efficiently and is expected to demonstrate ENCORE in all communications.

Essential Duties and Responsibilities

Understands insurance terminology including deductibles outofpocket coinsurance copayments and innetwork and outofnetwork.

Perform daily review of charges queued to go out to third party payers for clean claim submission.

Post incoming insurance and patient payments daily and ensure payments reconcile to client(s)

Manage A/R by working denials and delinquent insurance balances

Evaluate prioritize and perform A/R followup work through phone calls appeals claim corrections and refiles as needed to resolve A/R balances

Document accurate collection activity for reporting and tracking

Knowledge of insurance plans and patient payment options available

Understands how to read the patients ledger and correct reassignment of coinsurance copayments and deductibles to the patient.

Answer incoming calls on or before the third ring

Follows patient balance protocol and provides support with patient questions and requests and assists patients with creating payment plans and/or taking credit card payments

Gather analyze and communicate monthly accounting summaries and closing reports for management and client review and communicate to client in a timely manner

Familiarity with RBS Revenue Cycle Structure Clients and Physicians

Stays current on training processes and developments within the company

Reviews processes and provide suggestions for process improvements and efficiencies

Learn radiation oncologyspecific CPT codes terminology payer trends and billing requirements

Perform additional duties as assigned by management

Other Expectations/Skills

A collaborative approach to assisting clients and staff.

Selfmotivated with the ability to solve problems.

Reliable and extremely trustworthy.

Ability to maintain confidential and meticulous records.

Excellent verbal and written communication skills.

Proficient in Microsoft Office Suite or related software.

Exceptional organizational skills and attention to detail.

Adaptability and willingness to remain flexible when changes occur

Exhibit ENCORE values

Key Attributes

ENCORE Values

Encourage others success

New ideas; anticipate problems

Create financial value for our clients

Ownership towards a solution

Reach Life Balance

Embody a positive approach

High School Diploma.

1 years of healthcare billing experience preferred.

Physical Demands and Work Environment: The physical demands described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the functions.

Ability to lift/carry up to 25 pounds.

Ability to sit/stand for long periods of time.

Good manual dexterity with the ability to perform repetitive hand/wrist motions.

Requires mastery of complex language comprehension reasoning and analytical skills typically found in mid to highlevel work.

Typical office environment

Moderate noise levels

Disclaimer: This job description in no way states or implies that these are the only duties to be performed by the employee(s) of this position. Employees will be required to follow any other jobrelated instructions and to perform any other jobrelated duties requested by any person authorized to give instructions or assignments. All duties and responsibilities are essential functions and requirements and are subject to possible modification to reasonably accommodate individuals with disabilities.

The company is an equal opportunity employer drugfree workplace and complies with ADA regulations as applicable.