Patient Billing Specialist — Clear Explanations & Support

HighFive Healthcare

Birmingham (AL)

Sur place

USD 32 000 - 52 000

Plein temps

Il y a 2 jours

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Résumé du poste

HighFive Healthcare is seeking a detail oriented Patient Billing Call Center Representative to join our team. You will be the primary contact for patients regarding balances, statements, EOBs, and payment options, translating complex billing into plain language and ensuring professional, accurate, and compliant interactions.

The ideal candidate communicates clearly, stays calm with frustrated patients, and aims to resolve billing issues on the first contact.

Qualifications

1–2 years healthcare experience in a provider or payer setting.
Knowledge of patient statements, billing terminology, and the patient payment cycle.
Ability to read and understand insurance Explanation of Benefits (EOBs), including allowed amounts, adjustments, patient responsibility, and denial codes.
1+ year of call center or high-volume phone experience, preferably in a billing, collections, or customer support role.
Strong customer service skills with the ability to remain patient and professional in emotionally charged conversations.
Excellent verbal and written communication skills, with the ability to explain financial information clearly.
Proficiency with computer systems and the ability to navigate multiple applications while on calls.
Proficiency in navigating patient portals. Knowledge of Carestack is a plus.
Strong attention to detail, organizational skills, and math accuracy.
Knowledge of HIPAA privacy and security requirements.

Responsabilités

Answer a high volume of inbound patient billing calls promptly, projecting a patient, empathetic, and professional attitude with every interaction.
Explain patient statements in detail, including charges, adjustments, insurance payments, patient responsibility, and current balance.
Review and interpret insurance Explanation of Benefits (EOBs) and explain how allowed amounts, deductibles, copays, coinsurance, and denials affect the patient’s balance.
Identify discrepancies between patient statements, EOBs, and account records, and research or eliminate billing errors to the appropriate team.
Set up payment arrangements, process payments, and discuss available financial assistance or payment plan options in accordance with company policy.
Document all call activity accurately and thoroughly in the patient account and billing system.
Follow up on open billing inquiries and escalated issues to ensure timely resolution and patient satisfaction.
Maintain patient privacy and comply with HIPAA and all company security and compliance standards.
Meet or exceed call handling, resolution, and quality performance metrics.
Collaborate with billing, insurance, and clinical team members to ensure accurate account resolution and a seamless patient experience.