Billing Support Representative I

Ultimate Staffing; Irvine (CA); On-site; USD 38,000 - 47,000; Full time

Job summary

Ultimate Staffing is seeking a Billing Support Representative to be the primary contact for billing questions from patients, clients, and payors. The role provides support for estimated out-of-pocket costs, payment options, and billing status, with supervision as needed for an entry-level position.

The ideal candidate has healthcare exposure, strong communication, and documentation skills, with familiarity in CPT/ICD10 codes and insurance processes. On-site role in Irvine, CA.

Qualifications

• High school diploma or equivalent required.
• Bachelor's degree preferred but not required.
• Knowledge of CPT & ICD10 codes, medical terminology, insurance plans & processes.

Responsibilities

• Provide timely and professional support to clients and patients.
• Use problem-solving to resolve billing issues.
• Retrieve and respond to inbound requests via phone, email, chat, or text.
• Document all interactions in the system.
• Review and process documents related to billing and testing.

Skills

Excellent telephone skills

Communication skills

Teamwork

Attention to detail

Organization

Prioritization

Office equipment knowledge

Education

High school diploma

Bachelor's degree preferred

Healthcare/clinical lab knowledge

Tools

Microsoft Office

Google Chrome

Internet usage

Salesforce or case management software

Job description

I. Job Overview (Provide a summary of the job's main focus)

The Billing Support Representative's role is to be the primary contact for billing questions received from patients, clients, and payors. In this role, Billing Support Representative provides client and patient support for billing-related issues, including but not limited to communicating estimated out-of-pocket costs, offering assistance options, providing billing status, quoting pricing, collecting payments and reviewing patient correspondence. The Billing Support Representative is an entry-level position for individuals who are new to the industry and are still mastering the required skills and responsibilities with supervisory support.

II. Duties and Responsibilities:

• Provide support to clients and patients in a timely and professional manner.
• Use critical-thinking and problem-solving skills to generate appropriate solutions for billing issues.
• Retrieve inbound requests through a minimum of one channel, respond to the client's or patient's needs or direct them to the appropriate party.
• Correspond with patients via phone, email, chat, or text to provide and request information needed to successfully bill for testing.
• Document all client, patient, and payor interactions within systems completely and thoroughly.
• Review, identify, and process documents appropriately.
• Understand frequently asked questions regarding products and processes, utilizing resources as needed.
• Assist with incoming inquiries from patients and clients, providing one-touch resolution whenever possible for all billing-related issues.
• Demonstrate the following skills and abilities:
• Organize and attach documents to its corresponding case.
• Inter‑departmental communication and coordination.
• Preliminary billing and insurance knowledge.
• Communicate intermediate knowledge of products and systems to internal teams.
• Other projects as assigned.

IV. EDUCATION and Knowledge:

• Possesses a high school degree or higher (Bachelor's degree preferred but not required).
• Previous experience in health care or clinical laboratory preferred.
• Knowledge of CPT & ICD10 codes, medical terminology, insurance plans & processes.

V. TECHNICAL COMPETENCIES (Skill, Abilities and Capabilities):

• General- Excellent telephone and communication skills. Capable of excelling within a team environment. Capable of accomplishing workload and additional projects with no supervision. Ability to communicate effectively, attention to detail, ability to prioritize work, working knowledge of standard office equipment (printers fax machines, phone systems, office software and internet). Flexibility regarding job assignments.
• Software Skills - Working knowledge of Microsoft Office, Google Chrome, and internet usage required. Salesforce or other case management software preferred.
• Language Skills- Ability to read and interpret documents and Ambry requisitions, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively one-on-one, in group settings, with clients and with employees of the organization.
• Mathematical Skills- Ability to add, subtract, multiply, and divide using whole numbers, common fractions, and decimals.
• Reasoning Ability- Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.
• Certificates, Licenses, Registrations- none required.

VI. EXPERIENCE:

• Previous experience in health care or clinical laboratory administration is preferred.
• Previous experience in customer service, specifically patient-facing in a health or wellness setting, is preferred.
• Previous experience in insurance billing, including insurance verification, authorization, or collections.
  

All qualified applicants will receive consideration for employment without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, medical condition, genetic information, pregnancy, or military or veteran status. We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the California Fair Chance Act, City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, Los Angeles County Fair Chance Ordinance, and San Francisco Fair Chance Ordinance.