Medical Accounts Receivable Specialist - Patient Phones

The Medical Accounts Receivable Specialist at Norco is primarily tasked with assisting patients and customers with their billing inquiries. This includes researching and resolving claims, monitoring accounts receivable balances, posting payments, and submitting insurance claims. The role also involves verifying patient eligibility and benefits, and managing denial appeals.

To be considered for the Medical Accounts Receivable Specialist position at Norco, candidates should have knowledge of medical terminology, coding, and the insurance process. Proficiency in Microsoft Outlook, Word, and Excel is essential, along with basic mathematics skills and the ability to accurately enter data into systems.

A typical day for a Medical Accounts Receivable Specialist at Norco includes reviewing patient accounts, communicating with patients about billing inquiries, sorting through claims and denials, processing payments, and maintaining an organized workflow of account receivables. Every day offers challenges and opportunities to improve patient experiences.

Norco provides a comprehensive benefits package for its employees, including an Employee Stock Ownership Plan (ESOP), health insurance options, and wellness programs. Additionally, the company supports further education through employee tuition reimbursement and offers a 401(k) with employer matching.

At Norco, we focus on creating a supportive and respectful work environment that prioritizes teamwork and employee wellbeing. We celebrate our employees as stakeholders in our success and provide various benefits and programs aimed at promoting health, career development, and job satisfaction.

To handle billing inquiries, I start by listening actively to the patient's concerns to understand their situation fully. Then, I would gather relevant information from our systems, provide clear explanations, and follow up to ensure their needs are met, emphasizing the importance of a positive patient experience.

I've worked with insurance claims and denials extensively, which involves understanding various coding requirements and follow-up processes. I focus on accurately submitting claims, diligently researching denials, and preparing appeals as necessary to resolve issues efficiently.

I am proficient in Microsoft Office applications, particularly Excel for tracking and managing billing data. I have also used specialized medical billing software that enhances patient account management and claims processing efficiency.

To prioritize tasks effectively, I first assess which accounts have pressing issues or deadlines and prioritize those. I also maintain a well-organized task list and calendar to track follow-ups and critical deadlines to ensure timely resolution of all inquiries.

I employ double-checking methods, such as cross-referencing entries against source documents. Utilizing template forms and structured spreadsheets can also significantly reduce errors while enhancing the efficiency of data entry processes.

In a disagreement, I believe in open and respectful communication. I would discuss the issue calmly, sharing my perspective, and hearing theirs. Collaborating on a solution that adheres to best practices and company policies is key to maintaining a collaborative work environment.

I encountered a situation where multiple charges were denied due to coding errors. I gathered documentation, researched the correct coding guidelines, and resubmitted the claims with detailed notes explaining the changes. This approach ultimately led to successful payments and improved my team's claims handling process.

HIPAA regulations are crucial for protecting patient information. I understand the importance of confidentiality when handling patient data and ensure that all communications, both verbally and in writing, adhere to HIPAA guidelines to maintain patient trust and legal compliance.

I stay updated on medical billing regulations by subscribing to professional newsletters, attending webinars focused on billing practices, and engaging with industry forums where I can share experiences and learn about the latest changes affecting our practices.

I am drawn to the Medical Accounts Receivable Specialist role at Norco because I admire the company's commitment to serving the community and supporting its employees. I believe my skills and passion for helping others align perfectly with Norco's mission, and I am excited about contributing to such a meaningful organization.