JOB DESCRIPTION:
Our client is a hospital looking for Patient Billing Representatives. Minimum of 1 year of physician billing required.
Shift: 8:00am-4:30pm, M-F
RESPONSIBILTIES:
- The appropriate billing and collections of receivables
- Utilizing various software, including Epic, to process patient accounts.
- Review and analyze billing and denial information.
- Contact insurers, employers, patients, and other hospital departments to resolve outstanding accounts.
- Insurance verifications
- Tracking A/R for all commercial insurance claims and third-party claims.
- Identifying and correcting billing errors and resubmitting claims to insurance carriers.
- Providing review of remittance advice for payment errors, denials, and under-payments.
- Calling insurance carrier(s) or patients to seek resolution on accounts.
- Tracking all accounts needing adjustments and/or write-offs.
- Verifying Insurance refund requests.
- Reviewing orders for commercial patients and processing and tracking pre-certifications.
- Answering telephone calls as needed.
- Processing patient payments and setting up payment plans as needed.
EDUCATION /EXPERIENCE:
- Education equal to the completion of four years of high school plus additional specialized courses or training.
- 1 year of physician billing experience required.
- Third party medical billing experience with knowledge of CPT/HCPCS/ICD coding is strongly preferred.
- Working knowledge of Excel and Word preferred.