Patient Service Rep II | PSRs | Days | Full-Time

University of Florida Jacksonville Physicians, Inc.; Jacksonville (FL); Sur place; USD 42 000 - 52 000; Plein temps

Résumé du poste

University of Florida Jacksonville Physicians, Inc. is seeking a skilled medical billing associate to manage patient statements and insurance interactions. You will handle inbound calls, resolve billing issues, verify eligibility, and educate patients on billing processes.

The role involves processing payments, reviewing EOBs, and ensuring accurate coding with ICD-10 and CPT data. Strong customer service and Microsoft Office skills are required.

Qualifications

• 3 years physician medical billing experience including follow-up and registration preferred.
• 2 years customer service, preferably in a call center environment.
• Up to 1 year computer experience including Microsoft Office (Outlook, Word, Excel) preferred.

Responsabilités

• Answer inbound calls from patients, attorneys, insurance reps, clinic staff, and facilities to provide professional customer service.
• Research and respond to inquiries via inbound calls, the EPIC MyChart portal and in person.
• Verify insurance eligibility and update patient registration; file or re-file claims for payment.
• Facilitate resolutions of patient billing disputes; communicate results to appropriate departments; follow up as needed.
• Collect payments over the phone and in person; reconcile daily cash sheets and submit for processing.
• Review electronic remits and EOBs to verify balances; apply insurance adjustments and research denials.
• Review visit and procedure notes to address billing disputes and ICD-10/CPT coding data elements.
• Communicate status or resolution via outbound calls, emails, and letters.
• Provide requested billing records to patients and attorneys per HIPAA guidelines and policy.
• Assist patients with Medicaid share of cost and file Medicaid claims when eligible.
• Review and correct self-pay discounts or package pricing as needed.
• Research and process insurance and patient payment credits for refunds.
• Meet individual and team goals using call and account tracking functions.
• Meet attendance requirements per company policy.

Connaissances

Customer service

Billing

Phone support

HIPAA compliance

Formation

High School Diploma or GED

Outils

EPIC MyChart

Microsoft Office

Description du poste

JOB DUTIES:

Responsible for answering incoming calls on an Automatic Call Distributions (ACD) system regarding the patient’s statement, which includes hospital and physician services. 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, make any needed corrections the account.

Overview

JOB DUTIES:

Responsible for answering incoming calls on an Automatic Call Distributions (ACD) system regarding the patient’s statement, which includes hospital and physician services. 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, make any needed corrections the account.

Responsibilities

Essential Functions:

• Promptly answer inbound calls in a call center environment from patients, attorneys, insurance reps, clinic staff, and outside medical facilities to provide professional and timely customer service.
• Research and respond to call and written physician and hospital account inquires and requests via inbound calls, the EPIC MyChart portal and in-person.
• Verify insurance eligibility and update the patient registration, which includes filing or re-file of claims to insurance for payment.
• Facilitate to a resolution patient billing disputes and request including communicating key information to other department management personnel as needed. Send timely follow up communication to ensure the necessary actions are completed.
• Collect payments over the phone and in person. Reconcile daily Cash sheets and submit them timely for review and processing.
• Review and interpret electronic remits and EOB’s to verify the account balances are correct. This includes making appropriate insurance adjustment corrections and researching denial reasons.
• Review and interpret visit and procedure chart notes to address billing disputes and inquiries regarding ICD-10 and CPT coding data elements to facilitate corrections.
• Communicate via outbound calls, emails and letters to provide the status or resolution of the billing issue or request.
• Provide requested billing records to patients and Attorneys per HIPAA guidelines and company policy.
• Assist patients with meeting their Medicaid share of cost and file claims to Medicaid when eligible.
• Review and correct self-pay discounts or package pricing discounts as needed.
• Research and facilitate the processing of insurance and patient payment credits for refund.
• Meet the established individual and team goal standards using the required call and account tracking functions.
• Meet established attendance requirements as outlined by the company attendance policy and department requirements

Qualifications

Experience Requirements

3 years Physician Medical billing including follow-up, and registration preferred

2 years Customer Service, preferably in a phone center environment preferred

Up to 1 year Personal computer including Microsoft Office (Outlook, Word, Excel) preferred

Education

High School Diploma or GED equivalent required

Additional Details

Certification/Licensure Requirements Certification/Licensure Required/Preferred Qualified

UFJPI is an Equal Opportunity Employer and Drug Free Workplace