Patient Service Rep | PSRs | Days | Full-Time

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