Patient Service Rep II

Overview

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.

• Answer incoming calls 6 hours a day from patients, attorneys, insurance companies, clinic staff, and outside medical facilities.
• Facilitate a resolution to patient complaints 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 EOBs 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.

• 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

UFJPI IS AN EQUAL OPPORTUNITY EMPLOYER AND DRUG FREE WORKPLACE