Patient Service Rep | PSRs | Days | Full-Time

Responsibilities

• Answer incoming calls 6 hours a day from patients, attorneys, insurance companies, clinic staff, and outside medical facilities.
• Facilitate to a resolution patient complaints regarding billing.
• Communicate key issues to other department management personnel as needed.
• Send timely follow up communication to ensure the necessary actions are completed.
• Verify insurance eligibility, load the payor plans if not past timely filing, and file claims for payment.
• Review and interpret electronic remits and EOB’s to verify the account balances are correct.
• Make appropriate insurance adjustments and transfer patient charges to the correct Guarantor Account or HAR.
• Make outbound calls and send letters to patients regarding the status or resolution of their billing issue.
• Provide patients with billing and payment records when requested.
• Review Attorney requests for HIPAA compliance and provide the requested billing records.
• Aid patients with meeting their Medicaid share of cost and file claims if eligibility has been updated.
• Review and correct self-pay discounts or package pricing discounts when needed.
• Review and facilitate the processing of insurance and patient credits for refund.

Qualifications

• Experience Requirements: 2 years Physician Medical billing, including follow-up -preferred
• 2 years Customer service - preferred
• 1 year Microsoft Office (Outlook, Word, Excel) preferred
• Up to 1-year Written Communication preferred
• Up to 1-year Epic Medical Billing software preferred
• Education: High School Diploma or GED equivalent required