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Check with seller Patient Service Rep - REMOTE Jacksonville

Published date: April 3, 2022
  • Location: Jacksonville, Florida, United States

Job Description:
Scope of the Job

REMOTE

Responsible for answering incoming calls on an Automatic Call Distributions (ACD) system regarding the patient’s physician bills. Research, facilitate and resolve simple to complex billing issues and communicate the findings to the caller. Address any questions or requests regarding their account, educate patients on insurance and medical billing processes, and make any needed corrections to the patients account.

1. Answer incoming calls 6 hours a day from patients, attorneys, insurance companies, and UF clinic staff and outside medical facilities.

2. Review and facilitate the correction of insurance denials, charge posting and payment posting errors for all specialties in the 12 Business Groups and the Cash posting department

3. Send emails to all levels of management in the Business Groups, Cash Posting department, Refunds department and UF and Shands clinics to resolve billing issues and disputes. Send follow up emails to ensure all necessary action is taken.

4. Verify insurance eligibility, load the payor plans and file claims for payment

5. Review and interpret electronic remits and EOB’s to verify that account balances are correct. Make appropriate insurance adjustments and obtain approvals as needed.

6. Review and transfer patient charges to the correct guarantor account when needed.

7. Working with the Clinic Managers and Ambulatory Administrators, facilitate resolution of patient complaints about billing, clinic staff, physicians and outside lab billing companies.

8. Make outbound calls and send letters to patients regarding the status or resolution of their billing issue. Provide patients with billing and payment records when requested

9. As needed - assist walk-in patients who have simple to complex billing issues, questions and requests regarding their account

10. Review Attorney requests for HIPAA compliance and provide the requested billing records.

11. Assist patients with meeting their Medicaid share of cost and file claims if eligibility has been updated.

12. Review and correct self-pay discounts or package pricing discounts when needed.

13. Review and facilitate the processing of insurance and patient credits for refund. Obtain approvals as needed.

14. Organize reference materials to stay abreast of all company, managed care and insurance industry changes. Including which insurances we are contracted with and the customized billing requests for the 12 Business Groups.

15. Report any problem trends or issues to Team Lead or Manager.

16. Track work utilizing Epic Workqueues and an Off-Line Form.

17. Flexibility to stay late or come in early if needed to complete the needed account work.

Secondary Functions

Complete assigned projects during periods of low phone volumes

Job Requirements:
Temperament

Must be able to perform under stress when confronted with emergency, critical, or unusual situations. Must be capable of dealing with periodic cyclical workload pressures and levels of responsibility. Required to make independent judgments without supervision. Must be able to make generalizations, evaluations, or decisions based on sensory or judgmental criteria. Must have the adaptability to perform a variety of duties, often changing from one task to another of a different nature without loss of efficiency or composure. Requires the ability to work with people beyond giving and receiving instructions.

Skills

Customer service,

Excellent written and verbal communications,

Excellent typing and 10 key

PC skills, including Outlook, Word, Excel

Above average organizational skills,

Ability to prioritize,

Able to communicate effectively with all levels of Internal & external customers.

Strong team orientation.

Experience

3 Years Physician Medical billing including follow-up and registration Required

2 Years Customer Service, preferably in a phone center environment Required

1 Year Microsoft Office Preferred

1 Year Medical Billing Software (EPIC) Preferred

Education & Certifications

High School Diploma or equivalent required

Medical Terminology,

ICD-10

CPT coding

UFJPI is an Equal Opportunity Institution

Contact seller Share

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