Analyst/ Specialist/ Senior Specialist - PFS

Role & responsibilities

• Answer inbound calls and assist patients by providing information or directing them to the appropriate department in a courteous and professional manner.
• Utilize multiple Practice Management Systems (PMS) and Electronic Health Record (EHR) systems to accurately document and route messages.
• Collect and post patient payments promptly and accurately.
• Verify patient demographics and insurance coverage.
• Update primary and secondary insurance information as needed.
• Validate and process patient credits/refunds.
• Direct patients to the appropriate collection agency for outstanding payments.
• Assist patients with portal registration and navigation.
• Explain insurance coverage and benefits clearly.
• Perform outbound calls to collect past-due balances and resolve Coordination of Benefits (COB) denials.
• Complete other related tasks assigned by the supervisor.

Preferred candidate profile

• Minimum of 1 year of experience in customer service(International Voice Process) or US Healthcare contact centre preferred.
• Strong oral, written, and interpersonal communication skills for both internal and external interactions.
• Knowledge of medical terminology, commercial and government health insurance, and billing guidelines is a plus.