Patient Financial Services Associate

Who we are:

Spire Orthopedic Partners is a growing national partnership of orthopedic practices that provides the support capital and operational resources physicians need to grow thriving practices for the future. As a Management Services Organization (MSO) Spire provides the infrastructure for administrative operations that allows practices tooperateat their highest level so doctors can focus their efforts on what matters most patient care. Headquartered in Stamford Connecticut the Spire network spans the Northeast with more than 165 physicians 1800 employees 285 other clinical providers and 40 locations in New York ConnecticutRhode Islandand Massachusetts.

Whatyoulldo:

The Patient Financial Services (PFS) Representativeis responsible forprovidingaccuratetimely and courteous financial services to patients throughout the revenue cycle. This role supportsfrontendandpostservicefinancial processes including insurance verification benefit interpretation patient billing inquiries collections and payment resolution while ensuring compliance with organizational policies and regulatory requirements.

Responsibilities/Duties:

• Serve as a primary point of contact for patient financial inquiries via phone portal or written correspondence.

• Explain insurance benefits coverage limitations patient responsibility and payment options in a clear professional manner.

• Provide cost estimates and financial counseling asappropriate.

• Providedaily guidance coaching and support to Patient Financial Services Representatives

• Serve as the first level of escalation for complex patient billing or account issues

• Verify insurance eligibility and benefits and document findings accurately in the system.

• Review patient accounts for accuracy including demographic coverage and billing information.

• Submit review and follow up on insurance claims and patient balances as assigned.

• Identifyand resolve billing discrepancies underpayments or denials within defined workflows.

• Support staff in explaining insurance benefits patient responsibility payment plans and financialassistanceoptions

• Collect patient payments andestablishpayment plans per organizational policy.

• Post payments and adjustments accurately when assigned.

• Ensure compliance with HIPAA and all applicable state and federal regulations.

• Maintain confidentiality of allpatientand financial information.

• Follow departmental policies procedures and documentation standards.

• Other duties as assigned

Whoyou are:

• High school diploma or equivalent required.

• 13 yearsof experience in Patient Financial Services medical billing or revenue cycle operations preferred.

• Working knowledge of insurance plans benefit structures and patient billing processes.

• Experience using electronic health records or practice management systems.

• Strong customer service communication andproblemsolvingskills.

• Basic computerproficiencyincluding MS Office applications

• Experience in amultispecialtyorhighvolumehealthcare environment.

• Familiarity withfrontendandpostservicerevenue cycle workflows.

• Prior experience handling escalated patient financial inquiries.

Whatweoffer:

• Excellent growth and advancement opportunities

• Dynamic environment

• Access to a diverse network of practitioners

• Broad infrastructure of tools and programs to enhancethe employeeexperience

• Competitive Compensation

• Generous PTO

• Benefitspackage:health dental vision 401(k) etc.

We are anequal-opportunityemployer. Qualified Applicants are considered for positions and are evaluated without regard to actual or perceived race color creed religion national origin ancestry citizenship status age sex or gender (including pregnancy childbirth and related medical conditions) gender identity or gender expression (including transgender status) sexual orientation marital status military service and veteran status physical or mental disability protected medical condition as defined by applicable state or local law genetic information or any other characteristic protected by applicable federal state or local laws and ordinances (referred to as protected characteristics).