Apr 17, 2019

Patient Finance Associate

  • HealthWave Recruiting
  • Orlando, FL, USA
Contract

Job Description

HealthWave is hiring for Patient Finance Associates with a healthcare company in Orlando. This person works with patients and their families to meet financial obligations for services rendered. 

Responsibilities:
  • Telephone insurance carrier/patient to seek resolution on account. 
  • Resolve inappropriate payments with insurance carriers that are not in compliance with payer contracts or governmental agency rates on individual accounts. 
  • Utilize specialized knowledge of contracts, regulatory or contractual billing guidelines to determine an account’ s ability to pay after 
  • initial rejection from payer. 
  • Coordinate duplicate billings, coordination of benefits, medical records or clinical documents as needed to expedite payment of 
  • insurance claims. 
  • Identify trends in payer non-compliance and inform management if not able to resolve with payer. 
  • Negotiate within specified guidelines with payers. 
  • Ensure secondary carrier is appropriately billed or self-pay portion is pursued. 
  • Determine an individual’ s ability to pay and seek additional assistance either through governmental programs or uncompensated care program. 
  • Follow up with appropriate staff to locate missing information. 
  • Maintain necessary logs. 
  • Responsible for answering telephone calls in area when needed. 
  • Maintains reasonably regular, punctual attendance consistent with company policies, the ADA, FMLA and other federal, state and local standards. 
  • Maintains compliance with all policies and procedures. 

Requirements: 
  • High School graduate or GED required.
  • Basic working knowledge of Microsoft Office Suite, specifically Word and Excel. 
  • One (1) year experience in a related field (medical billing/collections/managed care)
  • Must have medicare billing experience 

Job ID

512

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