Are you a detail-oriented individual with exceptional customer service skills and a strong background in patient billing? We are looking for a Medical Billing and Collections Representative to join our team. In this role, you will be the primary point of contact for patients with billing inquiries, working under the general supervision of the Medical Billing Supervisor. Your responsibilities will encompass various facets of medical billing, customer billing, and collections.
Key Responsibilities
As a Medical Billing And Collections Representative, You WillCommunicate Effectively: Interact with guarantors, patients, or insurance companies about account status and efficiently address questions or inquiries. Set up payment arrangements following company policies.
Handle Calls: Manage inbound and outbound calls in a fast-paced environment, resolving difficult situations while maintaining high-quality customer service.
Update Information: Maintain accurate patient demographics and insurance information.
Resolve Inquiries: Address patient and insurance inquiries related to specific accounts, identifying and resolving billing discrepancies.
Manage Escalations: Handle escalation calls/accounts as necessary, ensuring patient/client satisfaction and de-escalating situations appropriately.
Document Interactions: Record details of interactions, including inquiries, complaints, comments, or actions taken.
Prepare Accounts for Collections: Review accounts in preparation for third-party collection agencies.
Discharge Patients: Administratively discharge patients whose accounts are placed with third-party collection agencies.
Maintain Confidentiality: Exercise good judgment and problem-solving skills when handling confidential information.
Verify Eligibility: Utilize practice management functions or payer websites to determine the correct payer for specific service dates and resolve patient eligibility issues.
Prepare Claims: Prepare claim data according to department and payer regulations to produce "clean" claims.
Process Refunds: Handle insurance and patient refunds as necessary.
Perform Additional Duties: Complete other duties as assigned.
Knowledge, Skills, & AbilitiesWe are looking for candidates with:
Strong communication and customer service skills
In-depth knowledge of billing and reimbursement processes
Excellent oral and written communication skills
Strong organizational, quantitative, and analytical skills
Ability to work independently and meet deadlines in a fast-paced environment
At least one year of medical billing experience in a healthcare setting (preferred)
Experience with Florida Medicaid (a bonus)
Bilingual Spanish-speaking ability (a plus)
Comprehensive knowledge of Medicaid, Medicare, and commercial insurance
A high school diploma or equivalent
Proficiency in Word and Excel
Excellent time management, attention to detail, documentation, and analytical skills
Work Schedule
This is a full-time, remote position. The work schedule is from 8:00 am to 5:00 pm ET with a 1-hour unpaid break, or from 8:30 am to 5:00 pm with a half-hour unpaid break.
Employment Type: Full-Time