Patient Accounting Rep II -- Customer Service

Responsibilities

• Reviews and researches related charges, directing them to the appropriate financial payer sources.
• Applies billing rules to billable research services to third-party health insurance payers according to CMS Claims Processing guidelines for Research Services.
• Invoices study billable services to the correct study and applies the standard applicable discount.
• Assists study teams and the CTO in understanding monthly invoices, answering questions, and correcting any identified errors.
• Follows up with study groups on outstanding charges and balances owed by the study.
• Affords assistance with traditional follow-up for claims handled in normal insurance billing and follow-up processes for Standard of Care services.
• Takes actions to resolve issues such as changing insurance, re-filing claims, contacting insurance companies, or answering questions.
• Documents actions taken as directed by department policy.
• Works closely with collection agencies to ensure they receive updated account information.
• Provides input and assists with implementing departmental planning and process improvements.

Requirements

• High School Graduate
• 1 or more years of experience in customer service, claims processing, corrections, or billing.
• Associates Degree in a related field of study from an accredited college or university (preferred).
• 1 or more years of experience in Epic (preferred).

Skills

• Ability to effectively communicate with patients and insurance companies regarding sensitive financial matters.