Job Description Summary

‎ 

Position is on our Customer Service Team. Responsible to provide support to patients, providers and customers internally and externally on billing related inquiries. The employee works insurance claims and patient accounts using department guidelines and MPG electronic systems. The position requires a thorough knowledge of insurance carrier billing and reimbursement, CPT, modifiers and fee schedule differences. Also requires understanding of how to decipher explanation of benefits and explain the impact to the customer. Position requires the ability to conduct telephone and face to face meetings with patients regarding account resolution and payment collection as well as via portal messaging. Assist customers with hardship applications, payment plans and eligibility for services. Expert verbal communication, interpersonal skills and professional appearance required for dealing with customers.

‎ 

How will you make an impact & Requirements

‎ 

Essential Duties and Responsibilities include the following. Other duties may be assigned.

• Demonstrates excellent interpersonal skills with patients, coworkers and insurance carriers.
• Ensures the protection of patient information from unauthorized inquiries and is well-versed with all HIPPA Guidelines.
• Processes and posts payments to accounts same day.
• Resolves patient complaints within a minimal timeframe, same day whenever possible.
• Meets timelines for reprocessing claims after updating the account with new information as provided by patients or physicians within the guidelines and timeframes permitted by the insurance carrier.
• Maintains advanced knowledge of cpt and modifiers.
• Maintains knowledge of Claim adjudication carrier rules.
• Meets or Exceeds monthly performance goals, expectations and reviews.
• Communicates call trends to managements when needed for possible escalation.