Patient Billing Representative

Description

Handle all billing matters and verify medical insurance coverage for various patient treatments, assist patients in understanding medical insurance benefits, collect payments, create suitable payment plans for patients and liaise with medical insurance providers to resolve payment issues

* NOTE:  Bilingual Spanish is required for this role at this time 

BENEFITS: Medical/Dental/Vision Insurances, 401k, Life Insurance, Long Term Disability Insurance, Critical Illness and Accident Insurances, Legal Insurance, Pet Insurance, PTO 

Requirements

• Maintain patient records, which includes detailing patient treatments and diagnoses as well as updating payment and medical insurance information
• Process patient payments and refunds
• Identify medical coding mistakes, typing errors, as well as patient underpayments or overpayments and rectifying them accordingly
• Creates suitable payment plans for patients based on their monthly income and financial obligations
• Communicates with medical insurance providers to verify whether patient treatments will be covered
• Answers patients’ questions regarding unsettled medical bills, reimbursements, and billing discrepancies
• Contacts patients through email, written correspondence, or telephone to inform them of overdue balances
• Contacts collection agencies or attorneys to initiate the payment collection process in cases of delinquent accounts
• Communicates with Billing Specialist to identify and resolve issues
• Checks the schedule to identify patients with outstanding balances; reviews accounts for accuracy
• Evaluates unpaid accounts; collects delinquent accounts; establishes payment agreements and follows up to ensure that delinquent accounts are being paid

Shared Duties/Other

• Ensures that all faxes are cleared off the machine (or routed in the system) and distributed throughout the day 
• Sorts incoming reports and directs to appropriate person if not addressed properly
• Maintains detailed knowledge of practice management and other computer software as it relates to job functions 
• Maintains and respect the confidentiality of patient information in accordance with company policy & procedure, and HIPAA & compliance guidelines
• Attends regular staff meetings and continuing education sessions as requested 
• Presents professional image in manner, appearance, motivation and work habits 
• Regular attendance is required 
• Performs other duties as assigned

Academic/Technical Qualifications 

• HS diploma or GED required

Industry Experience

• Minimum of 18 months experience in a physician group practice billing department
• Familiar with CPT and ICD-10-CM coding for orthopedic, podiatry & pain management surgery procedures
• Good analytical skills and an affinity for detail
• Knowledge of HIPPA & OSHA guidelines
• Working knowledge of medical practice management systems and electronic medical records
• Basic knowledge of computers and medical terminology is mandatory

Communication Skills 

• Excellent verbal, written, and interpersonal skills
• Ability to work well with physicians, employees, patients, and others
• A committed and result-driven attitude to work as a high ethical and professional standard.
• Unquestionable commitment to confidentiality, quality customer service and professionalism.