患者倡导者I - 远程
Patient Advocate I - Remote
概述
患者倡导者 I – RCM 通过及时、准确和礼貌地解决电话和书面查询，促进与患者、提供者和付款方的有利公司关系。
目前，US Anesthesia Partners 不雇佣居住在加利福尼亚州、夏威夷州或阿拉斯加的候选人。
此职位的基本薪资预估为每小时 15.00 至 23.99 美元。最终薪资将根据候选人的技能、经验和资格而定。此范围仅适用于基本薪资，不包括奖金或其他补偿。该职位有季度奖金资格。奖金不保证，根据公司和个人绩效发放。
职位亮点
主要职责和责任：（理想的候选人必须能够完成该工作的所有身体要求，无论是否需要合理调整）
- 回答来自患者、保险公司、医生办公室和设施的来电。
- 接收并回应所有可能涉及运营各个方面的查询和投诉，包括账单、索赔、索赔拒绝、付款和催收活动。
- 记录所有客户联系信息，包括采取的解决或转交行动，以将问题转交给相关方。
- 尽可能直接解决疑问，使患者得到及时满意的结果。
- 及时回应所有书面查询，如果无法及时解决，通知患者将会有延迟。
- 准确且用简单语言解释账户情况，使患者能够理解解释内容及其与问题的相关性。
- 按时完成分配的任务。
- 参加在职培训以提高技能，并了解合同和流程的变化。
- 识别并向管理团队沟通投诉模式。
- 保持最严格的保密性。
- 在系统备注中记录所有操作。
- 展现积极的态度，始终以个人服务的方式为他人服务。
- 负责、礼貌和专业地使用电话，尽量减少私人通话。
- 达到管理层设定的客户满意度标准。
- 达到管理层设定的生产率/绩效标准。
- 遵守所有公司政策和程序。
- 完成其他指派的工作。
资格要求
知识/技能/能力（KSAs）：
- 高中毕业或同等学历。
查看英文原文
Overview
The Patient Advocate I – RCM promotes favorable company relationships with patients, providers, and payers through prompt, accurate, and courteous resolution of telephone and written inquiries.
At this time, US Anesthesia Partners does not hire candidates residing in California, Hawaii, or Alaska.
The base pay estimate for this role is $15.00 - $23.99 hourly. The final offer will depend on the skills, experience, and qualifications of the selected candidate. This range is for base pay only and does not include bonuses or other compensation. This position is eligible for a quarterly bonus. Bonuses are not guaranteed and are awarded based on company and individual performance.
Job Highlights
ESSENTIAL DUTIES AND RESPONSIBILITIES: (The ideal candidate must be able to complete all physical requirements of the job with or without a reasonable accommodation)
- Answers incoming patient, insurance company, physician office, and facility telephone calls.
- Receives and responds to all inquiries and complaints that may pertain to all phases of operations including billing, claims, claim denials, payments, and collection activities.
- Records all customer contacts, including resolution or forwarding actions taken to refer questions to the proper party.
- Whenever possible, directly resolves questions so that the patient receives prompt satisfaction.
- Responds promptly to all written inquiries or notifies the patient if there will be a delay in obtaining a final resolution to the problem.
- Explains the account situation accurately and in simple language so that the patient can understand the explanation and how it applies to the question.
- Works assigned tasks in a timely manner.
- Attends in-service training to improve skills and keep abreast of changes in contracts and procedures.
- Identifies and communicates complaint patterns to the management team.
- Maintains strictest confidentiality.
- Documents all actions in the system’s notes.
- Demonstrates a positive attitude and serves others with personal service 100% of the time.
- Uses the phone in a responsible, courteous, and professional manner, keeping personal phone calls to a minimum.
- Meets customer satisfaction standards set forth by management.
- Meets productivity/performance standards set forth by management.
- Adheres to all company policies and procedures.
- Performs other duties as assigned.
Qualifications
KNOWLEDGE/SKILLS/ABILITIES (KSAs):
- High school graduate or equivalent required.
- Associate’s degree in health or business administration, or a related field of study is preferred.
- Equivalent combination of education and experience will be considered. Experience in a health care organization is preferred.
- Minimum of 1 year of customer service or billing collections experience preferred.
- Bilingual in English and Spanish preferred.
- Excellent verbal and written English language skills to answer customer concerns in simple, common language.
- Proficient math skills (i.e. calculation charges, payments, and adjustments).
- Knowledge of insurance processing, guidelines, and general laws related to all payers.
- Must be able to establish proficiency using the IDX practice management system.
- Excellent customer service skills.
- Ability to multi-task effectively.
- Data entry skills.
- Basic knowledge of CPT, ICD-9, and ASA codes.
- Sound problem solving skills and the ability to make decisions.
- Strong analytical skills.
- Must have a pleasant disposition and high tolerance level.
- Must display a positive “teamwork” attitude and strong interpersonal skills.
- Ability to work effectively and independently with limited supervision.
- Ability to maintain confidentiality.
- Willingness and ability to follow direction and/or company policy as directed by management.
*The physical demands described here are representative of those that may need to be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Occasional Standing
- Occasional Walking
- Frequent Sitting
- Frequent hand, finger movement
- Use office equipment (in office or remote)
- Communicate verbally and in writing
US Anesthesia Partners, Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, gender identity, sexual orientation, pregnancy, status as a parent, national origin, age, disability (physical or mental), family medical history or genetic information, political affiliation, military service, or other non-merit based factors.
Originally posted on Himalayas