61st Street Service Corp

Customer Support

• Handle and resolve incoming phone calls from patients, insurance carriers and/or physician offices
• Handle a large volume of calls expeditiously
• Attempt to collect full payment from patients or guarantors
• Establish payment arrangements according to guidelines
• Document payment arrangement terms in the billing system
• Apply payments collected over the phone to each date of service
• Handle customer inquiries, disputes and complaints
• Escalate contentious complaints to a supervisor or higher management
• Obtain and update insurance, demographic and guarantor information
• Update patient profiles and bill third-party payers as appropriate
• Perform other assigned duties

Customer Service Specialist II

Patient Access Specialist

• Schedule appointment requests and perform outbound calls to schedule Epic referrals
• Communicate insurance participation, financial responsibility, and time of service policy to patients
• Obtain patients' insurance and demographic information in EPIC
• Perform real-time insurance verification
• Collect pre-registration information to address Epic work queue accounts
• Provide support and back-up coverage as needed
• Perform general faxing, filing, and mail sorting
• Facilitate team discussions regarding complex patient scheduling needs
• Work on escalated cases with higher complexity as assigned
• Escalate issues to lead, supervisor, or manager for resolution
• Perform other related duties as assigned

Patient Access Specialist II – PEDS HEM ONC

Collections

• Handle follow-up work on Self Pay account balances
• Handle a large volume of inbound calls generated by an auto-dialer
• Secure payment and attempt to collect full payment from patients or guarantors
• Establish payment arrangements and document terms in the billing system
• Handle customer inquiries, disputes and complaints
• Escalate issues to a supervisor or higher management
• Obtain insurance, demographic and guarantor information
• Update patient profiles and bill third-party payers as appropriate
• Perform other assigned job duties

Self Pay Collections Specialist

Accounts Receivable

• Follow up to collect on all open and unpaid accounts with insurance companies and third parties
• Inquire about unpaid claims
• Appeal denied claims with insurance companies
• Contact patients or account guarantors
• Research root issues of denials
• Apply payer policies to pursue appeals or follow up to obtain payment
• Review account history for continuous follow-up
• Address incoming correspondence and respond timely
• Prepare correspondence to insurance companies, patients, and/or guarantors
• Contact insurance companies and patients/guarantors by phone, correspondence, online portals, and other approved means
• Document claim issues and actions taken in the billing system
• Perform charge corrections based on payer and institutional policies
• Update demographic and insurance coverage information and bill new insurance as appropriate
• Perform other assigned duties

Accounts Receivable Specialist II

• Greet patients and answer telephone calls
• Schedule appointment requests
• Indicate special needs, such as special accommodation and interpreter needs
• Communicate insurance participation, financial responsibility, and time of service policy to patients
• Obtain patients’ insurance and demographic information and register it in EPIC
• Perform real-time insurance verification and interpret responses
• Collect pre-registration information to address outstanding Epic work queue accounts
• Perform outbound calls for Epic referral scheduling
• Provide team support and back-up coverage as directed by the Supervisor and/or Manager
• Perform general faxing, filing, and mail sorting
• Perform other related duties as assigned

Patient Access Specialist I

• Handle large volumes of inquiries and requests from patients and customers
• Schedule diagnostic services, physician referrals, appointments, and provide general department information
• Schedule appointment requests and perform outbound calls to schedule Epic referrals
• Communicate insurance participation, financial responsibility, and time of service policy
• Obtain patients' insurance and demographic information in EPIC
• Perform real-time insurance verification
• Collect pre-registration information to address Epic work queue accounts
• Provide support and back-up coverage as needed
• Perform general faxing, filing, and mail sorting
• Facilitate team discussions regarding complex patient scheduling needs
• Work on escalated cases with higher complexity
• Escalate issues to lead, supervisor, or manager for resolution
• Perform other related duties as assigned

Patient Access Specialist II – Ophthalmology

• Handle large volumes of inquiries and requests from patients and customers
• Schedule diagnostic services, physician referrals, and appointments
• Provide general department information
• Schedule appointment requests and perform outbound calls to schedule Epic referrals
• Communicate insurance participation, financial responsibility, and time of service policy
• Obtain patients' insurance and demographic information in EPIC
• Perform real-time insurance verification
• Collect pre-registration information to address Epic work queue accounts
• Provide support and back-up coverage as needed
• Perform general faxing, filing, and mail sorting
• Facilitate team discussions regarding complex patient scheduling needs
• Work on escalated cases with higher complexity
• Escalate issues to lead, supervisor, or manager for resolution
• Perform other related duties as assigned

Patient Access Specialist II – OBGYN

• Schedule appointment requests and perform outbound calls to schedule Epic referrals
• Communicate insurance participation, financial responsibility, and time of service policy to patients
• Obtain patients’ insurance and demographic information in EPIC
• Perform real-time insurance verification
• Collect pre-registration information to address Epic work queue accounts
• Provide support and back-up coverage as needed
• Perform general faxing, filing, and mail sorting
• Facilitate team discussions regarding complex patient scheduling needs
• Work on escalated cases with higher complexity as assigned
• Escalate issues to lead, supervisor, or manager for resolution
• Perform other related duties as assigned