Bilingual Patient Resolution Specialist- Remote (Spanish / English)

Job Purpose

The Bilingual Patient Resolution Specialist manages a large volume of inbound and outbound calls in a timely manner, to patients of our client hospital and health systems, to secure payment of outstanding account balances, resolve account inquiries, and investigate and document status of these account activities. The Patient Resolution Specialist has ownership for effectively resolving patient inquiries and advancing payment of patient account receivables while keeping patient satisfaction at the core of every interaction.

Duties and Responsibilities

• Manage a continuous and high volume of in-bound and out-bound calls from patients, health systems, and insurance carriers, while simultaneously navigating and updating numerous systems, to resolve patient accounts inquiries and collect payment
• Attain payment of outstanding patient accounts through use of effective negotiation and customer service skills
• Accurately records status of collection efforts in company and member systems
• Research alternate insurance or payment options from various client resources available while navigating and updating multiple patient accounting systems.
• Assess caller status to ensure the protection of patient privacy and compliance with State and Federal guidelines
• Responsible for meeting monthly goals and quality standards through efficient and accurate work processes
• Other duties as assigned
• Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
• Understand and comply with Information Security and HIPAA policies and procedures at all times
• Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties

Qualifications

Working Conditions

Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.