Patient Service Rep | PSRs | Days | Full-Time

UF Health; Manhattan Beach (FL); On-site; USD 36,000 - 48,000; Full time

Job summary

UF Health seeks a dedicated billing specialist to handle incoming calls about patient statements and hospital services. You will research and resolve complex billing issues, educate callers on insurance processes, and make necessary account corrections.

Responsibilities include verifying insurance, loading payor plans, filing claims, reviewing remits, and providing billing records upon request. Collaboration with management and other departments is essential.

Qualifications

• 2 years Physician Medical billing, including follow-up (preferred).
• 2 years Customer service (preferred).
• 1 year Microsoft Office (Outlook, Word, Excel) preferred.
• Up to 1 year Written Communication preferred.
• Up to 1 year Epic Medical Billing software preferred.

Responsibilities

• Answer incoming calls from patients, attorneys, insurance companies, clinic staff, and outside facilities.
• Facilitate resolution of billing issues and communicate findings to appropriate departments.
• Verify insurance eligibility and file claims for payment.
• Review remits and EOBs to verify balances and adjust as needed.
• Provide billing records and status updates to patients on request.
• Review HIPAA requests for billing records and respond accordingly.
• Assist patients with Medicaid share of cost and updated eligibility.
• Correct self-pay discounts or package pricing where needed.
• Review and process insurance and patient credits for refunds.

Skills

Physician medical billing

Customer service

Written communication

Education

High School Diploma or GED

Tools

Epic Medical Billing

Microsoft Office

Job description

Overview

Description:

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

• Answer incoming calls 6 hours a day from patients, attorneys, insurance companies, clinic staff, and outside medical
  facilities.
• Facilitate to a resolution patient complaint regarding billing. Communicate key issues to other department management
  personnel as needed. Send timely follow up communication to ensure the necessary actions are completed.
• Verify insurance eligibility, load the payor plans if not past timely filing, and file claims for payment
• Review and interpret electronic remits and EOB's to verify the account balances are correct. Make appropriate insurance
  adjustments and transfer patient charges to the correct Guarantor Account or HAR
• Make outbound calls and send letters to patients regarding the status or resolution of their billing issue. Provide patients
  with billing and payment records when requested.
• Review Attorney requests for HIPAA compliance and provide the requested billing records.
• Assist patients with meeting their Medicaid share of cost and file claims if eligibility has been updated.
• Review and correct self-pay discounts or package pricing discounts when needed.
• Review and facilitate the processing of insurance and patient credits for refund.

Qualifications

Experience Requirements

• 2 years Physician Medical billing, including follow-up -preferred
• 2 years Customer service - preferred
• 1 year Microsoft Office (Outlook, Word, Excel) preferred
• Up to 1-year Written Communication preferred
• Up to 1-year Epic Medical Billing software preferred

Education:

• High School Diploma or GED equivalent required

Additional Duties:

• Additional duties as assigned may vary

UFJPI IS AN EQUAL OPPORTUNITY EMPLOYER AND DRUG FREE WORKPLACE