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
- Complete other duties that may vary from time to time assigned by your supervisor
- Participate in compliance activities
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.
- 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 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.