Handles phone, mail and personal inquiries from and regarding patient’s accounts in a professional helpful manner.
-Bizmatics patient calling team will be reaching out to patients to get update on below scenarios when practice has signed for PFS services:
-Insurance eligibility related: Patient Policy termed/inactive on DOS/Policy in Probation or Grace Period/ Policy Lapsed or irregular premium payment
-COB info/Not updated
-Patient Name or ID Mismatch (Need Demographic Details)/Cannot identify patient
-Pre-Existing condition Details from Patient/accident form sent by insurance to patient
-Workers compensation case is Closed
-Claims Paid to Patient
-bad mailing address
-Maximum sent statement/Prepare uncollectible account for 3rd party collections
-Pt estimation
-Payment plan set up
+Bizmatics patient calling team will attempt twice to call patient and if we are unable to reach the patient: we will bill the patient/Move to collection agency/adjustment as per practice update
-providing report to CM/practice about pt collection monthly/weekly(as per practice update) and monthly data for invoicing
For Incoming pt calls:
– Assistance to patients regarding medical bills
-Assistance to attorneys for billing records
-Any assigned duties/Special project
-Processing of CC from Prognocis through Integrity/Paypros/entering data in Papaya
-Patient Accounts are noted appropriately in Prognocis
-Billing actions like billed to patient, insurance, write off, pt payment posting will be taken by PFS
-HIPAA guidelines should be followed
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