Billing Problem Resolution

Duties and Responsibilities

• Initiate proactive measures that result in account Resolution.
• Follow-up on all assigned accounts in accordance with the pre-established goals.
• Research and analyze the account and payments.
• Respond timely and accurately to all incoming correspondence and inquires.
• Initiate recommendations and action plans for resolving the account.
• (Examples may include rebilling the claim and or checking the status of a claim).
• Documenting in our database explaining what actions were taken to resolve each account.

Customer Service Representatives are required to perform a wide variety of clerical duties.

Minimum Required Performance

• Each BPR Representative is required to maintain the department’s set goals.
• For the first month each BPR Representative is required to complete 10-15 BPR accounts per day.
• By the second month each Billing Resolution Associate is required to complete 15-20 BPR accounts per day.
• By the third month each Billing Resolution Associate is required to complete 20-30 BPR accounts per day.

Required Knowledge/Skills/Experience

• A High School Diploma or equivalent.
• Minimum 6 months medical billing experience.
• Excellent organizational skills and attention to detail.
• Ability to follow-through and keep current with consistent policy changes.
• Solid customer service and telephone skills.
• Knowledge and aptitude for basic computer skills.
• Excellent written and verbal communication skills.

Physical Requirements

• Continuous sitting (up to 6 hrs/day).
• Continuous walking (up to 6 hrs/day).
• Intermittent bending, squatting, and climbing.
• Simple grasping with both hands.
• Typing / Data Entry.