Patient Financial Services Rep

Job Summary

As a Patient Financial Services Representative at MedHQ, you will play a vital role in providing exceptional customer service to patients while effectively managing their medical billing inquiries and payment processing.

Key Responsibilities

• Patient Interaction:
• Professionally handle inbound calls from patients regarding their medical bills and financial matters.
• Engage with patients in a compassionate and empathetic manner, addressing their concerns and inquiries with utmost care.
• Billing and Payment Processing:
• Collect payments over the phone, ensuring accurate recording and documentation.
• Absorb and assist patients in setting up payment plans, as needed.
• Explanation of Benefits (EOB) Interpretation:
• Interpret and explain Explanation of Benefits (EOB) statements to patients, helping them understand insurance coverage and billed charges.
• Provide clarification on any discrepancies or questions related to EOBs.
• Claims Research and Resolution:
• Investigate and research claims that require further attention, such as denied claims or billing disputes.
• Collaborate with insurance companies and healthcare providers to resolve billing issues efficiently.
• Bilingual Communication:
• Communicate fluently in both English and Spanish to serve our diverse patient population effectively.
• Documentation and Reporting:
• Maintain detailed and accurate records of all patient interactions, payments, and resolutions.
• Generate reports as required to track and analyze billing and collection trends.
• Compliance and Regulations:
• Stay up-to-date with healthcare billing regulations and compliance standards.
• Ensure all interactions and processes adhere to HIPAA guidelines.
• Customer Service Excellence:
• Strive for first-call resolution and maintain high levels of patient satisfaction.
• Demonstrate patience, active listening, and problem-solving skills in addressing patient concerns.

Qualifications

• High school diploma or equivalent; some college coursework in a related field is a plus.
• Previous experience in a healthcare billing, revenue cycle management, or customer service role is required, minimum of 1 year.
• Bilingual proficiency in English and Spanish is preferred.
• Strong communication and interpersonal skills.
• Detail-oriented with excellent organizational abilities.
• Proficiency in using computer applications and billing software.
• Ability to handle confidential information with discretion.
• Understanding of healthcare billing codes, insurance terminology, and medical terminology is a plus.

Benefits

• Employer sponsored Major Medical
• Employer sponsored Dental
• Employer sponsored Vision
• Accidental Death and Disability insurance
• Short term disability
• 4.5% 401K matching
• Flexible spending account
• Generous paid time off
• True opportunity for advancement

Schedule

The job is remote.