Job Details

Billing Office Representative

Responsible for answering inbound phone calls/emails to the Billing Office. Responsible for addressing patients' questions regarding their accounts, collect payments, and establish payment plans. Escalates patient complaints directly to supervisor or manager if unresolved. Duties include (but not limited to):

• Review and understand patient billing
• Adjusting accounts
• Generating statements
• Processing payments and refunds
• Review and process patient requests for financial hardship
• Obtain proof of income as well as documentation to determine if patient qualifies for hardship waivers per Company policy
• Establishes and maintains effective communication and good working relationships with patients/family, and other internal teams for the patient's benefit
• Communicates appropriately and clearly to Manager/Supervisor, and other superiors
• Reports all concerns or issues directly to Revenue Cycle Manager and Supervisor
• Other responsibilities and projects as assigned

Requirements:

• High School Diploma or equivalent
• Knowledge of basic medical insurance coverage and/or types such as Commercial, Medicare & Medicaid
• Learns and maintains knowledge of current patient database and billing system
• Working knowledge of CPT and ICD-10 codes, HCFA 1500, UB04 claim forms, HIPAA, billing and insurance regulations, medical terminology, insurance benefits
• Knowledge of policies and procedures to accurately answer questions from internal and external customers
• Utilizes initiative while maintaining set levels of productivity with consistent accuracy

Experience:

• Minimum of 2 years Customer Service experience required
• Medical office or patient accounts preferred

Skills:

• Superior organizational skills
• Proficient in Microsoft Office, including Outlook, Word, and Excel
• Attention to detail and accuracy
• Effective/professional communication skills (written and oral)