In an environment where the patient is at the center of everything that we do the individuals in this position typically works with Billing Representatives and other employees handling complex billing issues for the purpose of collecting revenue for the organization. Will work with Patient, Client and/or Third Party insurance bills.
Analyzes and applies third party, client and patient payments and denials to accounts both manually and electronically
Complies with departmental Business Rules and Standard Operating Procedures.
Interprets explanation of benefits for appropriate follow up action.
Completes and tracks refunds/adjustments to customer’s accounts, while providing necessary back-up information.
Refund reporting generated from Billing Web IT
Refund request review through Imaging Work Flow
Contacts/coordinates with IT or third party carriers on file issues.
Releases electronic files and resolves error reports. .
Resolves and researches misdirected cash issues.
Conducts data entry and remittance posting and reconciliation activities.
Meets the performance goals established for the position in the areas of: efficiency, accuracy, quality, patient and client satisfaction and attendance.
Required Qualifications
High School Diploma / GED or equivalent work experience.
Demonstrated ability using computer and Windows PC applications, such as Outlook, Excel, instant message, video conferencing.
Strong keyboard and navigation skills and ability to learn new computer programs
Required to have a dedicated work area established that is separated from other living areas and provides information privacy
Ability to keep all company sensitive documents secure (if applicable)
Preferred Qualifications
Previous work experience in a fast-paced environment requiring strong multi-tasking skills
Some College level classes/coursework
Previous work experience in a customer service environment within the Healthcare / Insurance billing industry
Medical terminology acumen and experience.
Preferred Skills
Ability to triage and handle escalated situations.
Ability to work in a fast-paced environment.
Ability to adapt to changes.
Ability to develop and maintain client relationships.