Patient Service Rep | PSRs | Days | Full-Time

Answer incoming calls 6 hours a day from patients, attorneys, insurance companies, clinic staff, and outside medical. Verify insurance eligibility, load the payor plans if not past timely filing, and file claims for payment.

Overview:

Description:

 

Responsible for answering incoming calls on an Automatic Call Distributions (ACD) system regarding the patient's
statement, which includes hospital and physician services. Research, facilitate and resolve simple to complex billing issues
and communicate the findings to the caller. Address any questions or requests regarding their account, educate patients
on 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 medical
facilities.

Facilitate to a resolution patient complaint regarding billing. Communicate key issues to other department management
personnel 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 insurance
adjustments 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 patients
with 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 -preferred
2 years Customer service - preferred
1 year Microsoft Office (Outlook, Word, Excel) preferred
Up to 1-year Written Communication preferred
Up 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