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Medical Billing and Customer Service Representative
4 months ago
Location: Sarasota, FL or Port Charlotte, FL
Job Summary: As a Billing Customer Service Representative at Atlantic Cove Medical Group, you will play a crucial role in ensuring the accuracy and efficiency of our medical billing processes while providing top-notch customer service. You will be responsible for determining appropriate charges based on services rendered, handling patient accounts, and addressing billing inquiries in a professional and compassionate manner. This position requires a detail-oriented individual with strong communication skills and a deep understanding of medical billing practices.
Responsibilities:
- Patient Accounting System: Perform all required duties within the patient accounting system, ensuring accuracy and efficiency.
- Charge Determination: Accurately determine appropriate charges based on services provided to ensure proper billing.
- Customer Service: Serve as a primary source for customer service assistance, ensuring customer satisfaction.
- Call Center Operations: Handle a high volume of incoming customer service calls in a call-center like environment.
- Claims Review: Analyze explanations of benefits from third-party payers to verify correct payment and identify any denials that can be re-billed.
- Report Management: Maintain and analyze reports to ensure timely submission of claims.
- Problem Resolution: Identify problem accounts requiring further action and provide necessary information to insurance carriers or patients regarding their accounts.
- Patient Assistance: Assist patients with billing inquiries and problems, providing clear and helpful information.
- Supervisor Notification: Alert the supervisor of any ongoing billing issues or concerns.
- Documentation Maintenance: Keep organized files of all relevant documentation, including charge slips, explanations of benefits, and patient information.
- Report Preparation: Prepare and distribute reports as needed.
- Collections Referral: Refer delinquent accounts to collections in accordance with company policy.
- Additional Duties: Perform other related duties as assigned or requested.
Position Details:
- This job posting is for 1 of 2 available positions.
- Salary Range: $21.50 – $25.00 Hourly
Qualifications:
- Education:
- Required: High school diploma or equivalent.
- Preferred:
- Certificate or Diploma in Medical Billing and Coding from an accredited institution (6 months to 1 year program).
- Associate degree in Health Information Technology, Medical Billing and Coding, or a related field (2-year program).
- Certifications (Highly Recommended):
- Certified Professional Biller (CPB) from the American Academy of Professional Coders (AAPC).
- Certified Billing and Coding Specialist (CBCS) from the National Healthcareer Association (NHA).
- Certified Medical Reimbursement Specialist (CMRS) from the American Medical Billing Association (AMBA).
- Certified Professional Coder (CPC) from AAPC.
- Experience: At least two years of recent professional medical billing collection experience and two years of customer service experience, or an equivalent combination of education and experience.
- Insurance Knowledge: Working experience with Medi-Cal, Medicare, HMO, and PPO insurances.
- Technical Skills: Experience using online payer sites to check claim status, denials, and eligibility.
- Software Proficiency: Knowledge of MS Word and MS Excel.
- Coding Knowledge: Familiarity with CPT, ICD-10, and HCPC codes.
- Multitasking Ability: Must be an effective multi-tasker to meet daily production and quality standards.
- Communication Skills: Excellent verbal and written communication skills.
- Critical Thinking: Strong critical thinking and problem-solving skills.
- Active Listening: Proficient in active listening to understand and address patient and customer needs effectively.
