Patient Relations Specialist

This is a fully remote position, open to applicants in California.

📋 Description

• Oversee both incoming and outgoing communications with patients, guarantors, insurance firms, and legal representatives.

• Conduct conference calls and direct calls to the relevant department as needed.

• Analyze and address uninsured accounts, outstanding patient financial obligations post-insurance, and accounts that require further investigation or specialized handling.

• Educate patients and responsible parties regarding coverage specifics and payment alternatives.

• Process payments when required.

• Diligently review, document, and resolve communications from patients or responsible parties.

• Execute skip tracing to ensure optimal contact.

• Collaborate across departments to fulfill various assignments.

• Support remedial training and cross-departmental initiatives.

• Make final assessments regarding collectability and outstanding balances.

• Carry out additional responsibilities as assigned.

⛳️ Requirements

• High school diploma or GED with three to four years of relevant experience and/or training, or an equivalent combination of education and experience.

• Preferred 4-5 years of experience in the healthcare billing and collections sector.

• Required knowledge of all Government, Commercial, and Private payers.

• Preferred 2 years of experience in high-value collections and financial debt counseling.

• Previous experience with dialers is required.

• Exceptional written and verbal communication abilities.

• Strong organizational skills, meticulous attention to detail, prioritization capabilities, multitasking, and meeting deadlines.

• Advanced customer service and telephone skills.

• Ability to combine compassionate, empathetic customer service with effective account resolution strategies.

• Strong analytical skills for problem-solving and complex claim analysis.

• Proficient understanding of business processes with the ability to make informed decisions.

• Bilingual in English and Spanish is preferred.

• Intermediate proficiency in Microsoft Office, including Word, Excel, and Outlook.

• Required certification from the American Association of Healthcare Administration Management (AAHAM).

• Consistent and regular attendance is expected.

🏝️ Benefits

• Comprehensive industry-leading benefits (details available on the employer’s benefits page).

• Commitment to equal employment opportunities and protections for veterans/individuals with disabilities.

• Provision of reasonable accommodations for qualified disabled employees.