Patient Service Representative

2 weeks ago


Springfield, Illinois, United States Springfield Clinic Full time
Job Summary

We are seeking a highly organized and detail-oriented Patient Service Representative to join our team at Springfield Clinic. As a Patient Service Representative, you will be responsible for ensuring that patients receive excellent service and that their medical records are accurate and up-to-date.

Key Responsibilities
  • Verify patient insurance coverage and benefits prior to treatment
  • Secure prior-approval and pre-authorizations
  • Perform review and action of Bad Debt, Collections, and Denials
  • Maintain proficiency with insurance and billing issues and serve as a resource to providers and staff
  • Prepare account action worksheets and submit to Patient Accounting for charge corrections
  • Provide a positive impression to patients about the Clinic's billing department
  • Enter/edit patient insurance coverage/demographic information when necessary
  • Inform patients of the Clinic's billing and credit policies
  • Answer questions that patients may have in regard to insurance coverage and other billing issues
  • Respond to patient's verbal and written requests in a timely fashion
  • Maintain statistics
  • Maintain proficiency with insurance and billing issues by participating in Patient Accounting meetings and training sessions as appropriate
Requirements
  • High School graduate or GED required
  • Minimum two to three (2-3) years experience in medical billing and insurance preferred
Working Environment
  • Work in office environment
  • Use of telephone required
  • Involves frequent contact with staff and the public
  • Requires siting for long periods of time
  • Some bending and stretching required


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