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Medical Billing Customer Service Representative

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POSITION SUMMARY:

The Medical Billing Customer Service Rep performs complex clerical and accounting functions for patient billing, including verification of invoice information, maintenance of third-party billing records, and resolution of problems. Follows up on submitted claims and patient billing. Works with others in a team environment.

ESSENTAIL DUTIES AND RESPONSIBILITIES:

  • Processes billing to patients and third-party insurance companies.
  • Maintains supporting documentation files and current patient addresses.
  • Researches and responds by telephone and / or in writing to patient inquiries regarding billing issues and problems.
  • Maintains patient demographic information and data collection systems.
  • Performs a variety of general clerical duties, including telephone reception, mail distribution, and other routine functions.
  • Answers questions from patients, clerical staff and insurance companies.
  • Identifies patient billing complaints and works with billing staff to resolve any billing issues or discrepancies.
  • Evaluates patient's financial status and establishes budget payment plans.
  • Follows and reports status of delinquent accounts.
  • Reviews accounts for possible assignment to collections and prepares information for the collection agency.
  • Performs various collection actions including contacting patients by phone.
  • Performs miscellaneous job-related duties as assigned.
  • Participates in educational activities and attends monthly staff meetings.
  • Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
  • Assists in development and communication of SOP for key areas to improve accuracy and understanding of processes.

KNOWLEDGE OF:

  • Modern office practices, procedures and equipment
  • Correct English usage, grammar, spelling, punctuation and vocabulary
  • Oral and written communication skills, finance and legislation
  • Organization, operation, policies and objectives
  • Interpersonal skills using tact, patience and courtesy
  • Intermediate personal computer operation, including word processing, spreadsheets, and database management
  • Basic research methods

ABILITY TO:

  • Understand how to read and interpret medical explanation of benefits (EOBs)
  • Communicate effectively both orally and in writing
  • Demonstrate proficiency in MS Suite
  • Establish and maintain cooperative and effective working relations with others
  • Learn, apply and explain policies, procedures, rules, and regulations
  • Analyze situations accurately and determine an effective course of action
  • Plan and organize work
  • Work confidentially with discretion
  • Do basic mathematical calculations
  • Use personal computer with intermediate software and other normal office equipment
  • Maintain accurate records and files

EDUCATION and/or EXPERIENCE

  • High School diploma or higher, plus 2 years of medical office experience. Or an equivalent combination of education and experience.
  • Must have a strong understanding of how to interpret medical explanation of benefits (EOBs).

Job Type: Full-time

Pay: From $20.00 per hour

Expected hours: 40 per week

Benefits:

  • Life insurance

Experience:

  • Working with 3rd party billing company: 1 year (Preferred)
  • Customer Service: 1 year (Preferred)

Work Location: Remote

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Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

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