Patient Financial Services Representative
TEKsystems
Description
Responsible for billing and follow-up of patient and client accounts based on working knowledge of regulations governing CPT codes, diagnosis codes, Medicare, Medicaid, managed care, and commercial insurance guidelines. Researches and resolves pending and unpaid laboratory claims to resolution. Accurately interprets remittance advices regarding payments, adjustments and patient responsibility ensuring payment amounts and patient billing are accurate. Reviews Electronic Fund Transfers (EFTs) / insurance payments where applicable to ensure money is posted to correct system. Inputs patient, insurance, and claim information into billing systems. Under the direction of Billing leadership, accurately works assigned work queues on billing systems, gathering missing or incomplete billing information when needed. Responsible for claims follow-up. Thoroughly researches reasons for denial, short payments, overpayments, recoupments, and/or refund requests to resolution. Professionally answers incoming phone calls (i.e. patients, clients, payers) providing accurate information regarding outstanding bill/invoice/claim or other reason for inquiry. Takes patient/client payments over the phone where applicable. Communicates to customers if additional information or research time is required and follows up within an acceptable timeframe. Has working knowledge of daily and payment reconciliation process. Batches incoming mail and handles patient/client/payer correspondence.
Responsible for answering all incoming patient and other phone calls to the Patient Financial Services Department while maintaining appropriate call times. Sorting and distributing mail. Scanning correspondence. Other duties as assigned.
Courteously answers all incoming patient and other phone calls to the Patient Financial Services Department.
Promptly and effectively resolves general patient inquiries and requests.
Courteously and accurately transfers calls to the appropriate staff members while maintaining adequate talk time, aux on time, and a low prescribed number of dropped calls as directed by the manager or coordinator.
Distributes mail, faxes, reports, and itemized bills to the appropriate staff members.
Picks up and delivers departmental mail to and from the Woodland Prime mailroom at least twice daily.
Responds to requests for discharge dates, yearly payment account information, and/or mails itemized bills to appropriate party.
Notes accounts of any and/or all appropriate activity by utilizing the Epic System.
Scan appropriate documents to OnBase for correspondence posting to Epic.
Accurately processes all credit card transactions including Outpatient Pharmacy copay assistance payments in payment processing system.
Skills
Customer service, medical billing, microsoft word, microsoft excel, billing systems, collections customer service, Epic, onbase, mailroom
Top Skills Details
Customer service,medical billing,microsoft word,microsoft excel,billing systems,collections customer service
Additional Skills & Qualifications
MUST HAVES:
High school diploma
1 year of experience billing for medical care/service is required.
One year of customer service experience with telephone etiquette.
History working in Epic billing systemt
Ability to independently resolve problems successfully on the phone with clients, patients and internal departments. Working knowledge of Epic desirable. Training expertise and experience preferred.
NICE TO HAVES:
Experience using Microsoft Word, Excel is preferred.
2+ years of billing
Working knowledge of medical billing practices such as contractual adjustments and cash posting is preferred
Experience using computerized billing/collections systems in a hospital setting is preferred.
Experience Level
Entry Level - pay - 24/hr
Pay and Benefits
The pay range for this position is $24.00 - $25.00
• Medical, dental & vision• Critical Illness, Accident, and Hospital• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available• Life Insurance (Voluntary Life & AD&D for the employee and dependents)• Short and long-term disability• Health Spending Account (HSA)• Transportation benefits• Employee Assistance Program• Time Off/Leave (PTO, Vacation or Sick Leave)
Workplace Type
This is a fully onsite position in Milwaukee,WI.
Application Deadline
This position will be accepting applications until Jan 24, 2025.
About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
Confirm your E-mail: Send Email
All Jobs from TEKsystems