Establish and maintain a payment policy for patients with out of pocket balances who are having surgeries performed in the Toledo Clinic Ambulatory Surgery Center and obtains, validates, and documents patient demographic and insurance benefits for surgeon, facility, and anesthesiologist to insure prepayment of surgical services.

Works under the supervision of the OPS Office Manager.

Principal Duties & Responsibilities:

Example of Essential Duties:

Review appointment scheduling prior to services being rendered.
Accurately obtains / validates / documents patient demographic and insurance information for Surgeon and Facility
Calculates patient liabilities and actively collects and processes patient payments for Surgeon and Facility.
Contact insurance companies to determine patient responsibility for services.
Coordinate payment arrangements with medical office staff and patients.
Establish payment guidelines for patient prior to surgery being performed.
Meets productivity requirements to ensure excellent service is provided to customers.
Verify that all pre-cert’s are completed by the perspective offices on all surgeries in eCW prior to surgery.
Reach out to the office by email and ask for an update and documentation in eCW prior to the surgery date.
Make sure that prearranged payments are made within time guidelines set.

Other Essential Duties May Include (but are not limited to):

Assist in other billing functions if applicable.
Other duties as assigned

Knowledge, Skills & Abilities Required:

Required:

Experience with medical billing or medical account collection work required. Excellent communication skills, computer proficiency, typing, phone etiquette and customer service skills required. Knowledge of healthcare terms and revenue cycle processes, including insurance regulations and patient liabilities (deductible, copayments, coinsurance, etc.) required.
Specialized Knowledge/Skills: Strong data entry skills required, as well as demonstrated ability to work in multiple systems accurately and efficiently, such as scheduling and registration systems, document imaging, scanning, financial collection systems, proprietary payer websites and data quality monitoring.

Consistently arrives at work, in professional attire, on time and completes all tasks within established time frame.
Seeks appropriate tasks when primary tasks are completed and assists co-workers as needed.
Demonstrates adaptability to expanded roles.
Adheres to all clinic policies and procedures.

Education:

- HS diploma required. Some secondary education preferred

Preferred:

Previous related experience

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