Patient Billing Representative

Requirements: Two years clerical experience involving public contact and including at least one year of experience in an office or medical billing office.  A combination of education, training, and experience equivalent to the above and that provides the required knowledge and abilities.

Expectations for all employees:

• Adhere to work schedule assigned
• Attend periodic staff meetings
• Comply with work rules
• Maintain established productivity and quality standards
  • Productivity Goals- Accounts worked per day
    • Target 100
    • Stretch 130
• Complete other duties that may vary from time to time assigned by your supervisor 
• Participate in compliance activities

Duties:

1. Patient Services
   1. Assist and perform day-to-day patient representative functions of Prestige Billing Services, including but not limited to:
      1. Answering of in-bound patient phone calls. 
         1. Interview patients and obtain financial data to pay indebtedness for services rendered.
         2. Assist patients with account questions.
      2. Contact delinquent accounts and determine ability for repayment.
         1.  Establish payment agreements on balances due.
2. Review mail for EOB’s, claim denials, bankruptcy letters, attorney letters and credit card payments.

a. Review and process above according to internal guidelines and standards.

         b.  Appeal claim denials in a timely manner.

1. Manage and work Task Management queue and A/R report to ensure timely filing of claims.
2. Manage and work A/R Reports to identify accounts that require additional contact for payment.
3. Provide feedback to the manager regarding denial trends or problems with the insurer's payment methodology
4. Physical Requirements:
   1. Must be able to lift up to 15 lbs at times

Prolonged periods of sitting at a desk on a computer