Patient Financial Specialist- Privia Imaging

Houston, MS - USA

Monthly Salary: Not Disclosed

Posted on: Yesterday

Vacancies: 1 Vacancy

Job Summary

The Patient Financial Specialist (PFS) is responsible for all communications with the patients regarding their insurance and/or account with Privia Medical Group as well as all communications with third party payers regarding benefits and/or payment of services. They are responsible for performing any or all of the below mentioned duties as necessary based on the responsible parties involved.

Essential Job Duties:

Contact the patient prior to the visit to obtain/update the patients demographic and insurance information. Enters/updates this information in Athena EMR.
Contact the third party payer as needed to obtain required information pertaining to the patients coverage for that visit.
Obtain physician referral prior for office visit/procedure.
Obtain all necessary verifications and referrals for Surgery accounts. Collect deposits deductibles and/or co-pays prior to their surgery.
Complete record with all pertinent information. This information should include but is not limited to the name of the third party payer the type of coverage (HMO PPO POS etc.) method of payment co-pay or out-of-pocket deductibles.
Enter all information in the Athena EMR system insurance notes and when pertinent denotes the Primary Care Physician and whether a referral is needed.
Responds to patients requests regarding their account and explain Privia Imaging Centers financial policy and procedures as needed.
Work with patients to secure pre-payment sources or make other financial agreements prior to service/procedures.
Process billing calls and questions and answers correspondence related to patient accounts.
Assist in processing of insurance claims and resolving any coding or billing errors in order to maximize reimbursements and minimize patient liability.
Assist patients in completing all necessary forms and/or supply medical documentation as necessary.
Participate with other staff to seek account resolutions.
Follow up on unpaid claims and resubmits.
Follow up with third party payers regarding claims concerning non-payments reductions down coding etc. and process appeals as necessary.
Audit all patient account transactions for accuracy and resolve any outstanding issues. Identify and correct billing errors.
Communicates with clinical hospital and physician personnel related to patient accounts and serves as primary problem solver.
Initiate requests for patient payments by telephone or letter or use of collection letters.
Audit all patient credit balance accounts for resolution. Make all refunds promptly.
Make recommendations concerning accounts to be written off and/or turned over for collection.
Post all actions related to the patients account into the computer system as a permanent record.
Request specific non-generated routers through the Router Control Support Clerk.
Print Daily Activity Report at close of day to ensure charge/payment re-entry activities are balanced.
Substitute for other PSRs as needed.
Participate in educational and developmental activities.
Attend meetings as requested.
Perform other duties as directed by the supervisor.

Qualifications :

2 years of comprehensive experience in a medical/physician office environment.
2 years of medical collections experience.
1 year of working knowledge of CPT and ICD-10 coding standards.
Athena EMR experience is preferred.
High School Graduate or GED

Physical Demands

Requires sitting for long periods of time working in an office environment with some bending and stretching. Working under stress and prolonged use of telephone required. Manual dexterity required for use of calculator and computer.

Additional Information :

All your information will be kept confidential according to EEO guidelines.

#LI-DNI

Privia Health is committed to creating and fostering a work environment that allows and encourages you to bring your whole self to work. We understand that healthcare is local and we are better when our people are a reflection of the communities that we serve. Our goal is to encourage people to pursue all opportunities regardless of their age color national origin physical or mental (dis)ability race religion gender sex gender identity and/or expression marital status veteran status or any other characteristic protected by federal state or local law.

Remote Work :

Employment Type :

Full-time

Essential Job Duties:

Contact the patient prior to the visit to obtain/update the patients demographic and insurance information. Enters/updates this information in Athena EMR.
Contact the third party payer as needed to obtain required information pertaining to the patients coverage for that visit.
Obtain physician referral prior for office visit/procedure.
Obtain all necessary verifications and referrals for Surgery accounts. Collect deposits deductibles and/or co-pays prior to their surgery.
Complete record with all pertinent information. This information should include but is not limited to the name of the third party payer the type of coverage (HMO PPO POS etc.) method of payment co-pay or out-of-pocket deductibles.
Enter all information in the Athena EMR system insurance notes and when pertinent denotes the Primary Care Physician and whether a referral is needed.
Responds to patients requests regarding their account and explain Privia Imaging Centers financial policy and procedures as needed.
Work with patients to secure pre-payment sources or make other financial agreements prior to service/procedures.
Process billing calls and questions and answers correspondence related to patient accounts.
Assist in processing of insurance claims and resolving any coding or billing errors in order to maximize reimbursements and minimize patient liability.
Assist patients in completing all necessary forms and/or supply medical documentation as necessary.
Participate with other staff to seek account resolutions.
Follow up on unpaid claims and resubmits.
Follow up with third party payers regarding claims concerning non-payments reductions down coding etc. and process appeals as necessary.
Audit all patient account transactions for accuracy and resolve any outstanding issues. Identify and correct billing errors.
Communicates with clinical hospital and physician personnel related to patient accounts and serves as primary problem solver.
Initiate requests for patient payments by telephone or letter or use of collection letters.
Audit all patient credit balance accounts for resolution. Make all refunds promptly.
Make recommendations concerning accounts to be written off and/or turned over for collection.
Post all actions related to the patients account into the computer system as a permanent record.
Request specific non-generated routers through the Router Control Support Clerk.
Print Daily Activity Report at close of day to ensure charge/payment re-entry activities are balanced.
Substitute for other PSRs as needed.
Participate in educational and developmental activities.
Attend meetings as requested.
Perform other duties as directed by the supervisor.

Qualifications :

2 years of comprehensive experience in a medical/physician office environment.
2 years of medical collections experience.
1 year of working knowledge of CPT and ICD-10 coding standards.
Athena EMR experience is preferred.
High School Graduate or GED

Physical Demands

Additional Information :

All your information will be kept confidential according to EEO guidelines.

#LI-DNI

Remote Work :

Employment Type :

Full-time

Key Skills

Financial Services
Financial Models
Account Management
General Ledger Accounts
ERP
Payroll
External Auditors
Customer Relationships
Credit Card
Financial Statements
Business Units
Annual Budget
Income
New Clients
Financial Management

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About Company

Privia Health

Privia Health is a national physician platform transforming the healthcare delivery experience. We provide tailored solutions for physicians and providers, creating value and securing their future. Through high-performance physician groups, accountable care organizations, and popul ... View more

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