What are the responsibilities and job description for the Billing Rep position at Prestige Billing Services, Ltd.?
Two years clerical experience involving public contact and including at least one year of experience in a medical office or medical billing office. A combination of education, training, and experience equivalent to the above and that provides the required knowledge and abilities.
Expectations for all employees:
- Adhere to work schedule assigned
- Attend periodic staff meetings
- Comply with work rules
- Maintain established productivity and quality standards
- Productivity Goals- Accounts worked per day
- Target 100
- Stretch 130
- Productivity Goals- Accounts worked per day
- Complete other duties that may vary from time to time assigned by your supervisor
- Participate in compliance activities
- Work In-house, currently this role is not remote
Duties:
- Patient Services
- Assist and perform day-to-day patient representative functions of Prestige Billing Services, including but not limited to:
- Answering of in-bound patient phone calls.
- Interview patients and obtain financial data to pay indebtedness for services rendered.
- Assist patient with account questions.
- Contact delinquent accounts and determine ability for repayment.
- Establish payment agreements on balances due.
- Answering of in-bound patient phone calls.
- Assist and perform day-to-day patient representative functions of Prestige Billing Services, including but not limited to:
- Review mail for EOB’s, claim denials, bankruptcy letters, attorney letters and credit card payments.
a. Review and process above according to internal guidelines and standards.
b. Appeal claim denials in a timely manner.
- Manage and work Task Management queue and A/R report to ensure timely filing of health insurance claims.
- Manage and work A/R Reports to identify accounts that require additional contact for payment.
- Verify HCAP eligibility of patients.
- Provide feedback to supervisor regarding denial trends or problems with insurer’s payment methodology
- Physical Requirements
- Must be able to lift up to 15 lbs at times
- Prolonged periods of setting at a desk on a computer
