Patient Services Representative, Collections Lead

Job Summary

The Patient Services Representative, Collections Lead will be responsible for leading, supporting, and training for the timely and accurate collections of account receivables for all insurances and third-party billers along with partnering with the prior authorization and billing departments to maximize company revenue.

General Accountabilities

• Help train new hires on process and procedures within the department.
• Maintain training tools and develop new training tools as needed.
• Observe and advise manager on department team members’ strengths and weaknesses to facilitate ideal productivity and efficiency.

• Compiling claims appeals and reconsideration requests as necessary.
• Regular collections follow up on unpaid claims to maximize cash flow.
• Recognize, flag, and resolve payor issues as they arise.
• Assists in reviewing claims for accuracy before submission.
• Demonstrate an understanding of patient confidentiality to protect the patient and corporation.
• Assists and communicates with all departments to help increase efficiency and accuracy.
• Responds in a timely manner to all inquiries from customers, sales reps, and co-workers.
• Perform technical and customer support, as needed. 
• Performs all necessary administration tasks when necessary.
• Future cross-training in authorizations and billing.
• Perform other duties as assigned.

• Answering and appropriately routing all incoming company calls.
• Recording and relaying phone messages to appropriate parties.

• Maintain accurate data and in third-party billing and in-house ERP systems.

Job Qualifications

• High School diploma or equivalent required, Bachelors in related field preferred.
• Position requires at least 3 years of medical office/provider/billing/collections work experience with insurance procedures.
• Must have excellent communication skills, written and verbal. Proficiency with computer, internet and Microsoft Office (Outlook, Word, and Excel). Experience with multiple payor portals a plus.
• Problem Solving - Identifies and resolves problems time efficiently; Gathers and analyzes information; Develops solutions; Uses reason. 

Physical Demands

• Occasionally required to sit.
• Occasionally required to walk.
• Occasionally required to use hands to finger, handle, or feel.
• Occasionally required to reach with hands and arms.
• Occasionally required to talk or hear.
• Occasionally required to bend, lift or climb.
• Occasionally required to lift light weights (less than 25 pounds).
• Occasionally required to lift moderate weights (25-50 pounds).
• Finger dexterity required.
• Hand coordination required.

Work Environment

• Possible risk of electrical shock.
• The noise level in the work environment usually is speaking level.

Salary : $23 - $26