Bilingual Healthcare Patient Support Representative (English & Spanish) at PF Concepts

Fairfield, New Jersey, United States -

Full Time

Start Date

Immediate

Expiry Date

15 Jun, 26

Salary

18.0

Posted On

17 Mar, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Bilingual, Call Management, Account Research, Charity Care Screening, Payment Plan Setup, Documentation, Insurance Eligibility, HIPAA Compliance, Customer Service, Insurance Verification, Claim Status Requests, Time Management, Prioritization, Attention To Detail, Healthcare Terminology, Electronic Billing Systems

Industry

Wholesale

Description

Description Required: Bilingual - fluent in English & Spanish Ability to manage heavy inbound and outbound call volumes in a timely manner to include account research, screen patients for Charity Care, follow-up, set-up payment plans, documentation of information received, identify customer needs; provide solutions or alternatives to resolve issue. Review the company host system to ensure all related accounts are updated and/or billed. Review patient accounts for either field referral, insurance eligibility or Charity Care referrals by understanding insurance guidelines. Monitor aging accounts daily to ensure they are worked in a timely and efficient manner. Review and note accounts accurately with possible Medicaid and/or insurance to update and forward for billing for potential revenue. Review accounts to ensure accuracy and quality work is delivered to the client based on their standards and expectations. Review accounts under self-pay status accordingly for insurance discovery by ensuring insurance has a paying program, meeting timely filing deadlines, and has covering diagnosis. Review and work queues to maximize opportunity for revenue and meet departmental targets and quantitative goals. Provide accurate and timely status update on all accounts. Provide customer service; calling patients and interact with insurance companies for insurance verification and/or claim status requests. Generate and review aged trial balance (ATB) reports and assigned it to Field Representative. Assist in client clean-up projects as required. Motivated liaison between the company, client and patients. Abides by HIPAA rules and regulations and complies with company policy. Accept ownership of assigned work, train new hires or team members; attend seminars, client meetings and team building functions to improve knowledge and performance levels. Follow up with company and/or client scripts to ensure uniformity. Perform other duties as assigned by management team. Benefits: 401(k) 401(k) matching Dental insurance Health insurance Paid time off Paid training Tuition reimbursement Vision insurance Pay: Minimum pay: $18.00/hour Schedule: Monday - Friday 8:00 am - 4:30 pm 40 hours/week Requirements Bilingual – writing, reading and speaking in Spanish (required) Ability to take initiative and adapt to different changing situations and handle upset calls. Exceptional client and customer service, relationship and team building. A problem solver with a willingness to learn. Ability to multi-task, prioritize work and manage time effectively. Excellent written and verbal communication abilities. Strong attention to detail. Knowledge of healthcare terminology, procedures and practice; such as: HIPPA regulations, health insurance regulations and billing. Experience with electronic billing systems and workflow improvement. Proficient in Microsoft Office or related software. High school diploma or GED.

Responsibilities

This role involves managing high volumes of inbound and outbound calls to research patient accounts, screen for Charity Care, set up payment plans, and ensure accurate documentation and billing updates in the host system. Responsibilities also include monitoring aging accounts, verifying insurance, and working queues to maximize revenue and meet departmental goals.