[Remote] Patient Financial Services Representative

Note: The job is a remote job and is open to candidates in USA. Koya Medical, Inc. is a transformative healthcare company developing breakthrough treatments for venous diseases and lymphedema. They are looking for a Patient Financial Services Representative to provide excellent support to patients regarding their insurance and billing inquiries, ensuring a smooth patient journey.

Responsibilities

• Provide insurance and billing related support to customers by phone, text, or email (approximately 80%)
• Complete outgoing Medicare Reinspection calls (approximately 10%)
• Complete Patient Financial Outreach in the case of coverage denial (approximately 10%)
• Educate patients regarding flexible payment options when appropriate
• Take incoming calls from patients to assist with resolving their insurance or billing inquiries and balance payments
• Follow – and continuously improve – standard procedures
• Build a knowledge base of troubleshooting resolutions
• Work on special projects as needed
• Identify process improvement opportunities and participate in improvement plans
• Maintain working knowledge of Medicare, Medicaid, and commercial insurance plans, including coverage requirements, billing processes, and reimbursement guidelines

Skills

• 5+ years of experience in medical billing, including both inbound and outbound calling
• 2+ years of Customer Service experience
• Associates degree or equivalent
• Demonstrated ability to perform the essential functions as outlined above
• Knowledge and interpretation of insurance, and medical billing processes and documents – including commercial, Medicare, and Medicaid
• Ability to clearly and effectively communicate in both written and verbal form
• Self-driven with the ability to work independently and accurately
• Excellent communication and customer service skills, including de-escalation tactics
• Perform common customer service transactions, interactions, and activities. Log all customer/patient interactions
• Ensure compliance with all departmental policies and procedures; adhere to all required health care regulations, security, compliance, and HIPAA policies
• Ability to handle difficult patient interactions in a professional and timely manner; facilitate the resolution of customer issues by following the escalation process when necessary
• Organization Skills, Continuous Improvement, Problem Solving, Personal Effectiveness, Decision Making, Foster Teamwork, Ethical Conduct, Detail Oriented. Personal Initiative, Time Management, Active Listener
• Computer proficiencies, including Microsoft office and Salesforce preferred

Benefits

• Base + bonus compensation package
• Competitive benefits program

Company Overview