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
