Patient Service Rep

posted:
Location
Fort Myers, Florida
Industry
Health & Social Care, Practitioner & Technician (Healthcare Practitioners and Technical Occupations)
Job Type
Temp to Perm
Salary
US$ 14.00 - US$ 18.00 per hour
Ref. Number
S_28669
Contact
Recruiter, Spherion
Phone
555-555-5555
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Job Description

Responsible for all facets of medical billing and accounts receivable management including charge entry, customer service and follow-up in accordance with practice protocol with an emphasis on maximizing patient satisfaction and profitability. Responsible for reviewing the patient demographic information in the practice management system at the time of charge entry to ensure accuracy. Responsible for reviewing the physician's coding at the time of charge entry to ensure accuracy, timely payments, and to maximize revenue. Responsible for submitting insurance claims both electronically and on paper. Responsible for providing cross coverage for the other patient representatives as required to ensure efficient and professional practice operations and maximum patient satisfaction.

Responsibilities:
Input all charges for professional services into the practice management system including surgery center and hospital charges in accordance with practice protocol with an emphasis on accuracy to ensure timely reimbursement and maximum patient satisfaction. All charge batches should balance in both number of procedures and total dollar prior to posting. Verify all demographic and insurance information on the patient registration for the practice management system at the time of charge entry to ensure accuracy and timely reimbursement.

Review the coding at charge entry to ensure compliance with Medicare guidelines and to ensure accurate and timely reimbursement.

File all charge, payment and adjustment batches in the appropriate format by batch date for quick reference.

Provide customer service both on the telephone and in the office for all patients and authorized representatives regarding patient accounts in accordance with practice protocol. Patient calls regarding accounts receivable should be returned within 2 business days to ensure maximum patient satisfaction.

Follow-up on all outstanding insurance claims in accordance with practice protocol with an emphasis on maximizing patient satisfaction and practice profitability.

Follow-up on all outstanding patient account balances in accordance with practice protocol with an emphasis on maximizing patient satisfaction and practice profitability using the practice management system.

Follow-up on all returned claims, correspondence, denials, account reconciliations and rebills within five working days of receipt to achieve maximum reimbursement in a timely manner with an emphasis on patient satisfaction.

Recommend accounts for outside collection when internal collection efforts fail in accordance with practice protocol.

Alert Payment poster or Billing supervisor of refunds due.

Proficiency with all facets of the medical practice management system including patient registration, charge entry, insurance processing, advanced collections.

Provide cross coverage for patient reps as required to ensure efficient and professional practice operation including lunch and break coverage.

15. Maintain an organized, efficient and professional work environment.

16. Other duties as assigned.

Working hours: 8:00 AM - 5:00 PM

Skills:
The jobholder must demonstrate current competencies applicable to the job position.
Requires excellent written and verbal communication skills and strong customer service skills.
Requires strong basic mathematical skills.
Requires a minimum typing speed of forty (40) words per minute and ten-key by touch.
Requires an extensive working knowledge of managed care networks and insurance carriers.
Requires a working knowledge of accounts receivable functions.
Requires proficiency in general office automation including operation of fax machines, copy machines, adding machines, and multi-line phone systems.
Requires proficiency in working with a PC, the Internet, and MS Windows.
Requires a good understanding of the current Medicare Compliance, and HIPAA regulations.
Requires a high degree of organization.

Education:
High School

Experience:
4-7 years

Qualifications:
Seeking qualified Medical Billers for a Temp to Hire role, if you have previous experience please apply!

Spherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temp-to-perm or direct hire opportunities, no one works harder for you than Spherion. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.

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