Billing Specialist

JOB DESCRIPTION: The job of the Patient Accounts Specialist is to post pending charges, work insurance denials, and process claims for insurance billing. 

Patient Account Representative Responsibilities:

• Maintaining patient records, which includes detailing patient treatments and diagnoses as well as updating payment and medical insurance information.
• Processing patient payments and refunds.
• Identifying medical coding mistakes, typing errors, as well as patient underpayments or overpayments and rectifying them accordingly.
• Creating suitable payment plans for patients based on their monthly income and financial obligations.
• Answering patients’ questions regarding unsettled medical bills, reimbursements, and billing discrepancies.
• Contacting patients through email, written correspondence, or telephone to inform them of overdue balances.
• Contacting collection agencies or attorneys to initiate the payment collection process in cases of delinquent accounts.
• Understanding of contract invoicing for medical services rendered.
• Online patient payment portal knowledge.

Patient Account Representative Requirements:

• High school diploma or GED.
• Sound knowledge of medical terminology and billing.
• Proven experience working as a Patient Account Representative.
• Strong analytical and problem-solving skills.
• Excellent organizational skills.
• Effective communication skills.
• Exceptional customer service skills.
• Detail-oriented.

COMPETENCIES:

• Financial Management.
  
• Technical Capacity.
  
• Performance Management.
  
• Ethical Conduct.
  
• Communication Proficiency.
  
• Personal Effectiveness, Credibility.
  
• Knowledge of Microsoft Office.

SUPERVISORY RESPONSIBILITY

None 

PHYSICAL DEMANDS:

Physical demands described are representative of those that must be routinely met by and employee to successfully perform the essential duties of this position.  Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essentials duties.

• Ability to lift minimum 25 pounds.
  
• Ability to perform job responsibilities in a facility with multiple levels and without elevator or mechanical transportation.
  
• Operates a computer and keyboard.

TRAVEL

No travel expected for this position. 

POSITION TYPE/EXPECTED HOURS OF WORK:

This is a full-time position, and core hours and work days are Monday through Friday 8am to 4:30pm. This position may require evening or weekend work. 

WORK ENVIRONMENT:

This job operates in a professional office environment.  This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. 

WORKING CONDITIONS:

Working conditions described are representative of those that must be routinely met by and employee to successfully perform the essential duties of this position.  Reasonable accommodations may be made to enable qualified individuals with disabilities to perform essential duties.

• Smoke-free environment.

This position description is not intended to be a complete list of all responsibilities, duties or a skill required for the job and is subject to review and change in accordance with the needs of OVP Health and

contractual obligations.

Our Mission

Centered in compassion and excellence, we serve to save lives while nurturing stronger and healthier communities for our persons served , employees, and families.

CORE VALUES: 

Moral, Ethical and Behavioral Guidelines

Family: OVP Health is proud to be a family-owned company. We hold ourselves to the highest standards: the family values that are passed from generation to generation. However, at OVP Health we also believe that our coworkers, our persons served  and our community are family. That means we will always treat you like family, no matter what health struggle you're facing. 

Quality: In an ever-changing health care industry, our commitment to consistent, high-quality care has been the same since day one. Our highly trained physicians and nurses are constantly striving to provide the latest, most advanced care and treatment to persons served . Our medication-assisted treatment program is fully accredited by CARF (Commission on Accreditation of Rehabilitation Facilities). In everything we do, our goal is to provide persons served  and their loved ones with the highest level of care possible.

Community: At OVP Health, we believe in giving back. And our commitment to improving the communities we serve doesn't stop at providing high-quality medical care. After work and on weekends, OVP Health employees can be found volunteering in the community, and we are proud to support a number of nonprofit groups in the areas we serve. 

Integrity: Ethical, responsible health care is a nonnegotiable at OVP Health. We treat our coworkers, our persons served  and our communities with honesty, truest and respect and hold ourselves to the highest standards of ethics and professionalism. Earning a patient's trust and loyalty is our greatest reward. 

EEO STATEMENT

OVP Health provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics.  In addition to federal law requirements, OVP Health complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities.  This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfers ,leaves of absence, compensation and training.

OVP Health expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status.  Improper inference with the ability of OVP Health employees to perform their job duties may result in discipline up to and including discharge.