Patient Advocate

Apply Description The Patient Advocate is responsible for effectively managing the billing cycle for assigned client site(s) by working the 4 C’s: Charges, Claims, Cash, and Collections to achieve Gold Standard Results. Accountable for reviewing charges for accuracy, submitting clean claims, posting and reconciling payments, and resolving insurance and patient accounts receivables to payment resolution. The Patient Advocate must be able to handle multiple, simultaneous tasks effectively and efficiently and is expected to demonstrate ENCORE in all communications. Essential Duties and Responsibilities Demonstrates mastery of radiation oncology-specific procedure codes, terminology, payer trends and billing requirements Mastery of Power BI Perform daily review of charges queued to go out to third party payers for clean claim submission. Post incoming insurance and patient payments daily and ensure payments reconcile to client(s) Manage A/R by working denials and delinquent insurance balances Evaluate, prioritize, and perform A/R follow-up work through phone calls, appeals, claim corrections and re-files as needed to resolve A/R balances Document accurate collection activity for reporting and tracking Knowledge of insurance plans and patient payment options available Understands how to read the patient’s ledger and correct reassignment of coinsurance, co-payments, and deductibles to the patient. Answer incoming calls on or before the third ring Follows patient balance protocol and provides support with patient questions, and requests and assists patients with creating payment plans and/or taking credit card payments Gather, analyze, and communicate monthly accounting summaries and closing reports for management and client review and communicate to client in a timely manner Familiarity with RBS Revenue Cycle Structure - Clients and Physicians Stays current on training processes and developments within the company Demonstrates deep understanding of process reviews and comes up with innovative ideas Perform additional duties as assigned by management Other Expectations/Skills A collaborative approach to assisting clients and staff. Self-motivated with the ability to solve problems. Reliable and extremely trustworthy. Ability to maintain confidential and meticulous records. Excellent verbal and written communication skills. Proficient in Microsoft Office Suite or related software. Exceptional organizational skills and attention to detail. Adaptability and willingness to remain flexible when changes occur Exhibit ENCORE values Key Attributes ENCORE Values Encourage others’ success New ideas; anticipate problems Create financial value for our clients Ownership towards a solution Reach Life Balance Embody a positive approach Requirements High School Diploma. 1+ years of healthcare billing experience preferred. Medical Oncology experience preferred. Physical Demands and Work Environment: The…