Registration & Financial Resolution Specialist - (Must live in PST or MST time zone)

Job Summary

The Registration & Financial Resolution Specialist serves as the initial point of contact in healthcare settings, gathering patient demographic details, insurance information, and payments while maintaining confidentiality. This role registers patients, verifies insurance eligibility, educates callers on insurance billing and payment options, and resolves patient accounts efficiently.

Essential Duties And Responsibilities

• Serves as the initial point of contact in healthcare settings, carefully gathering patient demographic details, insurance information, and payments, all while maintaining confidentiality.
• Registers patients efficiently for appointments, surgery, or admissions.
• Data Accuracy: Collect and input accurate demographic and financial information into the [system.
• Insurance Verification: Verify insurance eligibility and identify patient liability (co-pays/self-pay).
• Answers phone calls from patients, guarantors, and insurance companies.
• Researches accounts to provide correct balance, payment, and insurance information, as well as educate callers regarding insurance billing and payment options.
• Recognizes and resolves insurance and billing errors.
• Bridges patient’s accounts to resolution via immediate payment in full, setting up payment plans, post-dating payments, finding insurance, or offering settlements or discounts, as well as recognize appropriate reasons for patients to dispute balances.
• Keeps informed and up to date on the proper procedures and protocols for each of our providers.
• Thoroughly completes the insurance verification process to ensure the accuracy of insurance information.
• Obtains insurance authorizations, referral, and treatment consults as needed for all scheduled patients prior to receiving services.
• Obtains benefit coverage from insurance companies and accurately enters information into the appropriate computer system.
• Documents all work performed in accurate and concise manner according to Elevate PFS best practices.
• Handles all calls with efficiency and accuracy as well as exceptional customer service.
• Maintains the e-mail inbox or fax machine for assigned practices throughout the day.
• Monitors and manages the e-mail inbox or fax machine for assigned practices throughout the day.
• Works any requests received via e-mailed or fax.
• Checks and responds to voicemails.
• Creates, maintains and monitors log of patients and procedures scheduled for assigned physician practices.
• Maintains appropriate work lists to ensure timely insurance verification processing.
• Utilizes multiple commuter application, scheduling software, network, drives to schedule multiple exams within multiple modalities and entities across the hospitals system.
• Effectively communicates operational activities and issues with Supervisor and Manager.
• Interfaces courteously and effectively with internal and external customers.
• Must consistently present a positive departmental and organizational image, as well as commitment to departmental goals, objectives, standards, policies and procedures.
• Demonstrates proficiency within assigned area of responsibility and a general understanding of the entire Patient Access process.
• Adheres to the hospitals and until level policies and procedures and safeguards set forth by each facility.
• Identifies and recommends process improvements for RMA services.
• Other duties as assigned.

Qualifications And Requirements

• To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or abilities.
• A high school diploma or GED, Associate degree or 2+ years in patient scheduling, registration, or healthcare billing is preferred.
• Over one (1) year working in a customer service or client relations type role.
• Office or hospital environment experience is preferred.
• High volume call center experience is preferred.
• Strong Literacy (grammar, spelling, math), Strong Microsoft Products experience, including word, excel, outlook, windows, Familiarity with HCA/Parallon IT systems is preferred.
• Strong sales and customer service skills, Excellent interviewing and telephone communication skills, Outstanding interpersonal and people-oriented skills, Excellent written and verbal communication abilities, Ability to communicate assertively and professionally while maintaining confidence and credibility, Strong analytical, problem-solving, and decision-making skills, High level of organization, attention to detail, and time management, Ability to multitask and prioritize effectively in a fast-paced environment, Proven ability to work independently with minimal supervision, Strong stress management and adaptability skills, Goal-driven with a strong action and results orientation, Demonstrates initiative, persistence, and a strong work ethic, Team-oriented with the ability to collaborate effectively, Flexible and adaptable to changing priorities, High standards of honesty, integrity, and professionalism, Profit- and performance-oriented mindset, Remote and hybrid positions require internet connectivity that meet the Company’s upload and download requirements.

Benefits

• ElevatePFS offers comprehensive benefits including Medical, Dental & Vision Insurance, 401K (100% match for the first 3% & 50% match for the next 2%), 15 days of PTO, 7 paid Holidays, 2 Floating holidays, 1 Elevate Day (floating holiday), Pet Insurance, Employee referral bonus program, Teamwork, Career Growth, Gain great experience to promote to higher roles.

Pay

The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, location, specialty and training. This pay scale is not a promise of a particular wage. The job description does not constitute an employment agreement between the employer and Employee and is subject to change by the employer as the needs of the employer and requirements of the job change.

Equal Opportunity Employer

Elevate, PFS is an Equal Opportunity Employer.