Medical Billing Customer Service Representative

POSITION SUMMARY:

The Medical Billing Customer Service Rep performs complex clerical and accounting functions for patient billing, including verification of invoice information, maintenance of third-party billing records, and resolution of problems. Follows up on submitted claims and patient billing. Works with others in a team environment.

ESSENTAIL DUTIES AND RESPONSIBILITIES:

• Processes billing to patients and third-party insurance companies.
• Maintains supporting documentation files and current patient addresses.
• Researches and responds by telephone and / or in writing to patient inquiries regarding billing issues and problems.
• Maintains patient demographic information and data collection systems.
• Performs a variety of general clerical duties, including telephone reception, mail distribution, and other routine functions.
• Answers questions from patients, clerical staff and insurance companies.
• Identifies patient billing complaints and works with billing staff to resolve any billing issues or discrepancies.
• Evaluates patient's financial status and establishes budget payment plans.
• Follows and reports status of delinquent accounts.
• Reviews accounts for possible assignment to collections and prepares information for the collection agency.
• Performs various collection actions including contacting patients by phone.
• Performs miscellaneous job-related duties as assigned.
• Participates in educational activities and attends monthly staff meetings.
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
• Assists in development and communication of SOP for key areas to improve accuracy and understanding of processes.

KNOWLEDGE OF:

• Modern office practices, procedures and equipment
• Correct English usage, grammar, spelling, punctuation and vocabulary
• Oral and written communication skills, finance and legislation
• Organization, operation, policies and objectives
• Interpersonal skills using tact, patience and courtesy
• Intermediate personal computer operation, including word processing, spreadsheets, and database management
• Basic research methods

ABILITY TO:

• Understand how to read and interpret medical explanation of benefits (EOBs)
• Communicate effectively both orally and in writing
• Demonstrate proficiency in MS Suite
• Establish and maintain cooperative and effective working relations with others
• Learn, apply and explain policies, procedures, rules, and regulations
• Analyze situations accurately and determine an effective course of action
• Plan and organize work
• Work confidentially with discretion
• Do basic mathematical calculations
• Use personal computer with intermediate software and other normal office equipment
• Maintain accurate records and files

EDUCATION and/or EXPERIENCE

• High School diploma or higher, plus 2 years of medical office experience. Or an equivalent combination of education and experience.
• Must have a strong understanding of how to interpret medical explanation of benefits (EOBs).

Job Type: Full-time

Pay: From $20.00 per hour

Expected hours: 40 per week

Benefits:

• Life insurance

Experience:

• Working with 3rd party billing company: 1 year (Preferred)
• Customer Service: 1 year (Preferred)

Work Location: Remote