Patient Service Rep | PSRs | Days | Full-Time

Overview

Description:

 

Responsible for answering incoming calls on an Automatic Call Distributions (ACD) system regarding the patient'sstatement, which includes hospital and physician services. Research, facilitate and resolve simple to complex billing issuesand communicate the findings to the caller. Address any questions or requests regarding their account, educate patientson insurance and medical billing processes, make any needed corrections the account.

Responsibilities

Job Requirement:

 

Answer incoming calls 6 hours a day from patients, attorneys, insurance companies, clinic staff, and outside medicalfacilities.

Facilitate to a resolution patient complaint regarding billing. Communicate key issues to other department managementpersonnel 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 insuranceadjustments 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 patientswith billing and payment records when requested.

 

Review Attorney requests for HIPAA compliance and provide the requested billing records.

 

Assist 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

Qualification:

 

Experience Requirements

 

2 years Physician Medical billing, including follow-up -preferred2 years Customer service - preferred1 year Microsoft Office (Outlook, Word, Excel) preferredUp to 1-year Written Communication preferredUp to 1-year Epic Medical Billing software preferred

 

Education:

 

High School Diploma or GED equivalent required

 

Additional Duties:

 

Additional duties as assigned may vary

 

 

 

UFJPI IS AN EQUAL OPPORTUNITY EMPLOYER AND DRUG FREE WORKPLACE