Job Description

Job Location: SANDY SPRINGS - Sandy Springs, GA 30328
Position Type: Full TimeEducation
Level: 2 Year Degree
Travel Percentage: Negligible
Job Shift: Day
Job Category: FinanceResponsible for reviewing accounts, counseling patients regarding balances, and collecting prepayment prior to the scheduled visit. Possesses ability to communicate with and educate patients regarding their financial responsibility and payment options. Responsible for creating payment arrangements and collecting payments (non-covered services, self-pay, co-pays, deductibles, and/or co-insurance) and recording transactions in EMR. Must maintain a comprehensive understanding of the health insurance market, specific plan requirements, and standard payment options. Required to communicate to patients in a way that is perceived as thorough and clear, answer questions about financial concerns, and collaborate with the clinic and central business office as needed.
- Review all ASC and Outpatient schedules for surgeries and procedures
- Confirm pre-certification of each surgery; if not confirmed, notify the pre-certification department
- Coordinate with surgery schedulers
- Contact patients regarding prepayment due for ASC and outpatient surgeries.
- Interact, review and counsel patients in person and via telephone in a professional manner regarding their insurance plan, payments and other relevant financial issues including any amount due prior to their surgery
- Knowledge of insurance company protocols and managed care contracts
- Must be knowledgeable in ICD and CPT coding; and stay well-informed of industry changes
- Confirm all fees and required payments; establish payment arrangements
- Post all payments collected accurately into Compulink
- Reconcile and balance financial reports daily; prepare receipts for deposits
- Provide exceptional customer service by taking calls from patients, answering questions, problem-solving, and assisting with concerns and complaints in a timely manner
- Forward requested surgery notes via email to insurance department as needed/requested.
- Provide back-up support to ASC front desk team when needed
- Communicate clearly with and accommodate all patients, customers, and insurance companies making a concerted effort to positively resolve insurance matters
- Complies with TEG policies and procedures including punctuality, attendance, and dress code.
- Exhibit exceptional customer service qualities at all times with patients, customers, team members, staff and insurance companies
- Ensures confidentiality and maintains the highest regard for patients’ records and physicians’ information professionally and in compliance with local, state and federal mandates.

QualificationsRequired Minimum Education: High School Diploma, certification preferred (e.g. CHFP)
Required Minimum

Experience: 5+ years in healthcare financial operations
A combination of experience, education, and/or training substantially demonstrating the following knowledge, skills and abilities:
- Knowledge in Microsoft Word, Excel, Outlook
- Typing speed of 45 wpm
- Knowledge of medical and surgical terminology
- Effective in providing exceptional customer service to patients and colleagues
- Possess a financial and mathematical aptitude
- Excellent verbal and written communication skills
- Expert in insurance co-pays, deductibles, allowable, CPT and diagnoses codes
- Detail-oriented and organized; ability to multi-task
- Strives for precision and process improvement / enhancement
- Consistently willing to help others (patients, customers, staff, physicians, other employees)
- Problem solver and ability to work independently with minimal supervision
- Maintain confidentiality of patients records and physicians information
- Extensive coding knowledge required, Ophthalmic Certification desired