Patient Services Representative, Billing

Key Responsibilities

• Generate paper bills via PDF for mail/fax submission to insurance.
• Enter electronic bills via insurance/clearinghouse portal where applicable.
• Analyze documentation on file to ensure proper billing; eligibility, authorization, service rendered, etc.
• Ensure billing meets regulatory and insurance requirements for proper billing.
• Submit corrected claims to fix errors and in response to insurance denials.
• Recognize, flag, and resolve payor issues as they arise.
• Show strong attention to detail to ensure accurate billing.
• Demonstrate an understanding of patient confidentiality to protect the patient and corporation.
• Affords assistance and communication with all departments to help increase efficiency and accuracy.
• Responds in a timely manner to all inquiries from customers, sales reps, and co-workers.
• Answers and appropriately routes all incoming company calls.
• Records and relays phone messages to appropriate parties.
• Performs technical and customer support, as needed.
• Maintains accurate data and in third-party billing and in-house ERP systems.
• Performs other duties as assigned.

Qualifications & Skills

• High School diploma or equivalent required, Bachelors in related field preferred.
• At least 3 years of medical office/provider/billing/collections work experience with insurance procedures.
• Must have excellent communication skills, written and verbal.
• Proficiency with computer, internet and Microsoft Office (Outlook, Word, and Excel).
• Experience with multiple payor portals a plus.