Patient Services Phone Representative - Entry Level - Full Time

Experity is the leading software and services company for ondemand healthcare in the U.S. We provide software solutions that remove complexities and simplify operations for 5700 urgent care clinics across the country. We create maintain and support products to facilitate the complete ondemand healthcare experience: from patients finding clinics and making appointments to checking in to clinical documentation and to the final bill paid by the patient. Our team is committed to changing healthcare for the better by innovating and revolutionizing ondemand healthcare for millions of patients across the country.

Experity offers the following:

• Benefits Comprehensive coverage starts first day of employment and includes Medical Dental/Orthodontia and Vision.
• Ownership All Team Members are eligible for synthetic ownership in Experity upon one year of employment with real financial rewards when the company is successful!
• Employee Assistance Program This robust program includes counseling legal resolution financial education pet adoption assistance identity theft and fraud resolution and so much more.
• Flexibility Experity is committed to helping team members face the demands of juggling work family and liferelated issues by offering flexible work scheduling to manage your worklife balance.
• Paid Time Off (PTO) Experity offers a generous PTO plan and increases with milestones to ensure our Team Members have time to recharge relax and spend time with loved ones.
• Career Development Experity maintains a learning program foundation for the company that allows Team Members to explore their potential and achieve their career goals.
• Team Building We bring our Team Members together when we can to strengthen the team build relationships and have fun! We even have a family company picnic and a holiday party.
• Total Compensation Competitive pay quarterly bonuses and a 401(k) retirement plan with an employer match to help you save for your future and ensure that you can retire with financial security.

Job Type: Full Time in office

Shift: 9:30a 6p training 10:30a 7p after training

Compensation:Budgeted $17 $19.50 dependent upon experience

Responsibilities:

• Receive incoming calls and complete account followup

• Receive inquiries concerns or complaints related to patient accounts from patients insurance carriers employers etc.

• Counsel patients regarding obligations related to account balances

• Review explanations of benefits for correct adjudication and payment according to applicable managed care contract terms and reimbursement

• Apply payments and adjustments to patient accounts as appropriate

• Review and update patient and insurance demographics as appropriate

• Maintain current understanding of applicable coding guidelines state and federal regulations and managed care guidelines

• Responsible for notifying management of any trends or denials

• Basic understanding of CPT ICD9 and HCPCS coding

• Responsible for resolution and appropriate refunding of credit balances. Includes working credit balance reports as needed

• Assist with training for new and established employees

• Other duties as assigned

Education and Experience:

• High School degree or equivalent
• Preferred :
  • At least one year of experience in physician office medical billing
  • Preferred Understanding of managed care
  • Knowledge of medical terminology

Every Team Member lives and breathes our Core Values:

• Team First
• Lift Others Up
• Share Openly
• Set and Crush Goals
• Delight the Client

Our urgent care solutions include:

• Electronic Medical Records (EMR): Software that healthcare providers use to input patient data such as medical history diagnoses treatment plans medications and test results.
• Patient Engagement (PE): Software that shows patients the wait times at various clinics allows patients to reserve a spot in line if theres a wait and book the appointment.
• Practice Management (PM): Software that the clinic front desk staff uses to register the patient once they arrive for their appointment.
• Billing and Revenue Cycle Management (RCM): Software that manages coding billing and payer contracts for clinics so they dont have to.
• Teleradiology: Board certified radiologist providing accurate and timely reads of results from Xrays CT scans MRIs and ultrasounds for our urgent care clients.
• Consulting: Consulting services for urgent care clinics to assist with opening expanding and enhancing clients businesses

Required Experience:

Junior IC