Reimbursement Specialist - Chronic List Coordinator
Paragon Healthcare, Inc.
43 reviews
Plano, TX 75075
Paragon Healthcare, Inc.
43 reviews
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Qualifications
• • High school or equivalent (Required)
Full Job Description Great opportunity to join a well-respected, award-winning, fast growing healthcare company based in Dallas-Ft. Worth with locations throughout Texas, as well as in California, Colorado, and Tennessee. This position is located at our home office in Plano (Bush/Independence).
Position Summary:
The Chronic List Coordinator ensures reimbursement integrity by analyzing patient benefits and calculating patient estimates for treatment to facilitate time of service collections.
Education/Experience:
- High School Diploma or equivalent (GED)
- Excellent interpersonal, communication and organizational skills required.
- Ability to prioritize, problem solve, and multitask is required.
- A minimum of 1-2 years experience in medical collections (preferably home infusion) with a working knowledge of managed care, commercial insurance, and Medicare reimbursement preferred.
Major Responsibilities:
- Receive inbound benefits and calculate patient estimates based on benefits analysis, payer contracted rates, and copay assistance timely and accurately. Communicate estimates to the site office and inform patients by phone of their estimated cost for treatment.
- Enter estimates in NextGen accurately. Enter notes regarding patient phone contacts, benefits issues, or other needed information, accurately and timely in the EMR.
- Offer information to patients regarding Copay Assistance Programs and enroll patients if applicable. Document information in NextGen regarding Copay Assistance.
- Submit claims, EOBs, assistance forms, and all other necessary documents to the Assistance plan for Reimbursement.
- Create and distribute the daily Chronic List of scheduled patients in a timely manner. Ensure that the balance due is correct based on prior balances, current benefits, and any Copay Assistance Programs that the patient is enrolled in. Strive for a 95% accuracy rate on patient estimates.
- Inform the Patient Account Representatives immediately of any patient account that requires a collection call based on current policy and procedure. If Patient Account Representative is not available, CLC will contact the patient.
- Respond to emails, phone calls, and messages courteously.
- Participate in team meetings, team building events, and educational opportunities related to job function. Demonstrate engagement in the workplace.
- Performs other tasks or special projects as assigned.
Work Standards:
- Understands and adheres to all external accreditation review standards, applicable state, local and Federal laws and / or regulations including maintaining patient confidentiality through abiding by HIPAA laws/regulations.
- Understands and adheres to all company policies and procedures.
- Displays a neat, clean, and professional appearance at all times.
- Competent with office computer program, if applicable (i.e. DripSync, CPR+)
- Competent at partner programs (i.e. Word, Excel, PowerPoint)
- Effective written and oral communication skills
Job Type: Full-time
Pay: $16.00 - $23.00 per hour
Benefits:
• 401(k)
• 401(k) matching
• Health insurance
• Paid time off
Schedule:
• Monday to Friday
Education:
• High school or equivalent (Required)
Experience:
• Healthcare Reimbursement: 1 year (Preferred)
Work Location:
• One location