Customer Experience Representative - Patient Financial Services FT

Gibson Area Hospital & Health Services; Gibson City (IL); On-site; USD 36,000 - 52,000; Full time

Job summary

Gibson Area Hospital & Health Services is seeking a CBO Representative to ensure accurate and timely billing and follow-up of all claims to secure prompt payments from payers. You will coordinate with multiple departments to research patient accounts and resolve inquiries.

Responsibilities include daily billing follow-up for Medicare, Medicaid, Blue Cross and other payers, handling patient and insurer inquiries, and updating correspondence and EOBs while escalating non-routine issues to

Qualifications

• Experience with medical billing and payer follow-up.
• Strong communication with patients and insurers.
• Ability to research and resolve billing questions accurately.

Responsibilities

• Run required daily reports for billing follow-up across Medicare, Medicaid, Blue Cross, commercial and third parties.
• Make and receive calls regarding billing status and questions from patients and insurance payers.
• Ensure timely and accurate follow-up with payers based on established policies.
• Review patient accounts with admissions/registrations to identify missing information and determine next steps for timely follow-up.
• Respond to billing questions and provide clarification to customers.
• Maintain communication with insurers, outside agencies and internal departments; escalate non-routine issues to management.
• Update and prepare correspondence to customers and payers as needed.
• Process EOBs and correspondence within 2 business days; rebill and reprocess denials as needed.
• Handle incoming calls from patients about their insurance and billing; process walk-ins.
• Resolve credit balance reports monthly; collaborate with staff professionally.

Skills

Billing

Customer Service

Communication

Research

Job description

HOURS & SHIFT REQUIREMENTS: Regular full time, 40 hours weekly, Monday - Friday, 8-4:30.

General Summary

The CBO Representative is responsible for accurate and timely billing and follow-up of all claims to ensure prompt payment from all payers. This would include all communication and research regarding patient accounts with all departments involved.

GIBSON AREA HOSPITAL & HEALTH SERVICES MISSION STATEMENT

To provide personalized, professional healthcare services to the residents of the Communities we serve.

Principle Duties And Responsibilities

• Run required daily reports for preparation of billing follow-up of patient accounts with all Medicare, Medicaid, Blue Cross, Commercial and all third parties.
• Make Outgoing & Receive incoming calls and answer inquiries from patients, insurance companies and all other parties regarding the status and billing questions concerning claims.
• Ensures appropriate, accurate/timely follow-up to all insurance companies based on established policies and procedures.
• Review patient account information received from admissions and out patient registration. Identify any missing information and determine what avenue to take to insure timely follow-up.
• Adequately responds to billing questions and provide clarification to customers.
• Develops and maintains appropriate communication with insurance payers, outside agencies and internal departments.
• Appropriately refers all non-routine issues to management for clarification.
• Accountable for updating and preparing correspondence to customers and insurance payers as necessary.
• Effectively communicate to customers needs with the appropriate level of urgency.
• Process and scan all EOB’s/Correspondence received within 2 business days.
• Re-bill and reprocess all Denials and Rejections ensuring all avenues are explored to resolve and issues with Insurance Payers.
• Take incoming calls from patients regarding their insurance and billing.
• Process all walk-ins
• Resolution of Credit Balance reports Monthly.
• Ability to work with fellow staff in a professional, courteous and respectful manner at all times.
• All other duties assigned by Director of PFS or Executive Director of Revenue Cycle.
• Work the denial program daily.