Stephanie Hardison

• Provides service to patients and providers during inbound and outbound phone calls while scheduling appointments, capturing messages for the clinic staff and providers, and addressing the needs of the customer with occasional guidance. Schedules patient appointments, escalates patients' health concerns in accordance with individual division guidelines, provides connections to resources for clinical advice and guidance, and navigates complex situations while making sound effective decisions.

• Supports delivery of patient care by providing clerical and receptionist services to patients, families, visitors, staff, physicians, departments that support patient care, and all other customers of a Patient Care Unit with regular guidance. Facilitates efficient workflow, supports appropriate use of technology, and fosters effective communication.

• Inbound Call Center - Resolve customer inquiries efficiently, enhancing satisfaction and loyalty.Manage high call volumes, ensuring prompt and effective service. Assisting customers with making payments, or providing assistance with phone related requests by utilizing conflict resolution skills to address and solve customer issues.

• Take inbound calls from providers and/or make outbound calls to providers to discuss and resolve outstanding overpayments (95% of your day can be on phones)
• Provide claims expertise support by reviewing, researching, investigating, negotiating, and resolving all types of claims as well as recovery and resolution for health plans, commercial customers, and government entities
• Fundamental Execution: Plan, prioritize, organize and complete work to meet established production goals, quotas and deadlines in a fast pace and ever-changing environment
• Communicate professionally with the provider to ensure PRS is meeting the needs and expectations of the client; build a good rapport with the provider contacts by establishing professional working relationships to ensure timely recoveries
• Escalate recovery efforts through many avenues to progress and resolve the situations
• Analyze, identify trends, and provide inventory and or client updates as necessary
• Must meet state and federal compliance policies, reimbursement policies, and contract compliance
• Works independently while acting as a resource and mentor for others
• Perform other duties as assigned

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

• Physician's Collections Unit, collecting on patient accounts.Called on past due accounts daily.Resolved problems on accounts daily. Verifying and updating insurance information.Informed customers about billing procedures, processed payments, and provided payment option setup assistance.

• The Behavioral Health Specialist assists in the direct care and management of patients across all age ranges with medical and behavioral issues under the supervision of the LPN/RN as directed by the treatment team. The Behavioral Health Specialist assists with unit programming to facilitate the carryover of therapy issues, leisure activities, and activities of daily living within the functional ability of patients and with consideration for the patient’s level of growth and development.

• Provide daily hygiene, assist with ADL's, and data collection in a timely and accurate manner. To communicate appropriately with patients, families, and all members of the health care team. To transcribe medical plan of care, maintain work environment and communicate nursing care needs in a timely and accurate manner.