Job Summary:

Responsible for obtaining insurance benefits for patients; calculate amount due on day of surgery, send letters regarding costs to patients and call per protocols.

Education and Experience:

High school diploma or equivalent. Two years minimum experience in customer service Healthcare billing representative or medical receptionist experience a plus. If you do not have this experience, please note in your cover letter why you are interested in this field. Excellent communication skills, written and oral. Mathematical and analytical problem-solving ability. Type 40+ WPM. Strong computer skills. Well-organized with attention to detail. Excellent follow-up skills. Ability to manage multiple tasks simultaneously. Ability to work as a team player. Primary Responsibilities Review plan for upcoming surgeries to determine upgrades, analyze insurance benefits to determine patient cost prior to care, and additional assignments as determined by Billing Manager. Notify patients of their estimated out of pocket cost at least two weeks prior to surgery to ensure prompt payment on the day of surgery. Ensure necessary information is transmitted to the front office including patient responsibilities for dates of service in both practice and ASC regarding co-pays and outstanding balances. Run schedules and create fee slips for both offices. Edit and confirm all insurance card information into the system prior to claims submission. Prepare and enter all facility surgery sheets for Nonpractice surgeons. Take billing calls from patients. Solve revenue cycle issues related to both the practice and outpatient facility. Perform other duties, as required. Work on insurance denials and appeals. Collect patient payment or set-up payment plans for patients. Cover other positions in the billing department when necessary. Secondary Responsibilities Perform other duties, as required. Set-up payment plans for patients. Cover other positions in billing during vacation time.

Security Clearance:

Intermediate