Handle patient questions, complaints, and concerns
Explain policies and procedures to the patient
Ensure inbound calls are handled timely, efficiently, and appropriately
Explain patient balances and collect payment from patients
Review patient information to determine why claims were not paid, update accordingly and resubmit
Notate accounts with current actions and follow up appropriately
Communicate with appropriate Clinic Administrator (CA) regarding patient complaints
Communicate with posting and billing departments regarding possible errors on patient accounts
Research and communicate to Collection Manager procedures to help Collections operate more efficiently and improve days outstanding
Communicate to Collection Manager any concerns and issues impacting collections of outstanding receivables or the company
Cooperate and maintain good rapport with staff, clients and Management team
Maintain a professional approach with confidentiality
Assure protection and privacy of health information as attained through written, electronic or oral disclosures
Seek guidance and remain knowledgeable of, and comply with, all applicable federal and state laws, as well as company policies and procedures
Requirements
High School Graduate or equivalent
1-2 years of Healthcare and/or customer service experience required
Bilingual (English/Spanish) is preferred
Ability to problem solve and think critically while handling a large volume of calls daily
Healthcare billing knowledge
Professional appearance and demeanor are required
Knowledge various insurance plans and providers
Knowledge of Federal and State regulations related to Healthcare billing
A full understanding of customer service and insurance follow-up process is preferred
Knowledge of CPT & ICD-10 is preferred
Excellent communication and verbal skills including proper grammar
Excellent interpersonal skills including conflict management
Ability to multi-task and work well under pressure
Strong leadership and organizational skills
Advanced knowledge of UB 04, HCFA 1500, and any other billing forms and filing requirements
Intermediate skills in Microsoft Office (Word, Excel)
A commitment to excellent customer service as well as a positive proactive attitude
10-key by touch and type 50-60 wpm
Familiarity with current software packages such as Microsoft Word, Excel and Outlook
Medical terminology familiarity
Familiarity with billing practices and guidelines
Benefits
Health insurance
Retirement plans
Paid time off
Flexible work arrangements
Professional development
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
Healthcare billing knowledgeKnowledge of CPTKnowledge of ICD-10Advanced knowledge of UB 04Advanced knowledge of HCFA 150010-key by touchTyping 50-60 wpmMedical terminology familiarityBilling practices and guidelinesKnowledge of various insurance plans
Soft skills
Problem solvingCritical thinkingExcellent communication skillsExcellent interpersonal skillsConflict managementMulti-taskingWorking under pressureStrong leadership skillsOrganizational skillsProfessional demeanor