| Location | Westwood, Westwood |
· Respond to a high volume of patient inquiries via phone, mail, and electronic messaging regarding a wide range of billing and account-related issues.
· Research and resolve patient billing inquiries by working with insurance companies, third-party payers, and other external contacts. Communicate findings accurately and promptly to patients and guarantors.
· Collect outstanding balances and update patient demographic and insurance information during patient interactions.
· Verify insurance eligibility using payer websites, available technologies, and direct communication with insurance companies.
· Understand and apply hospital and professional billing practices, including:
o Reading and interpreting Explanation of Benefits (EOBs)
o Billing commercial and government payers
o Resolving claim denials
o Assisting patients with coordination of benefits (COB) and other insurance-related issues
· Respond to complex patient and guarantor concerns, including:
o Payer denials
o Coding questions
o Secondary billing
o Coordination of benefits
o Verification of copays, coinsurance, and deductibles