Patient Services Representative

BBSS Beyond Blue; United States; Presencial; USD 42 000 - 64 000; Tempo integral

Resumo da oferta

BBSS Beyond Blue in the United States is seeking a Patient Registration and Billing Specialist responsible for ensuring accuracy and completeness of patient data after clinical encounters, reviewing and submitting claims to support timely reimbursement.

You will coordinate with patients, payers, and internal teams to collect missing information, reduce denials, and maintain compliance with organizational policies and regulatory standards.

Qualificações

• High school diploma or equivalent.
• 2-3 years of experience in patient access, registration, billing, or revenue cycle operations.
• Equivalent combination of education and experience may be considered.
• All experience must be paid and in the same related field. Volunteer work and internships for academic credit are not counted.

Responsabilidades

• Review and correct claims and data errors rejected, denied, or suspended due to registration or data issues.
• Contact patients to collect or clarify insurance details including claim numbers, employer, or authorization information.
• Document communications, track responses, and update patient account records with accuracy.
• Coordinate with employers, insurance carriers, attorneys, or adjusters to obtain required documentation.
• Meet departmental KPIs for claim resolution, registration completeness, denial reduction, and accounts receivable performance.
• Collaborate with registration, billing, clinical, coding, and customer service teams to ensure seamless information flow.
• Provide feedback to frontline registration staff to reduce recurring data entry errors.
• Participate in process improvement initiatives to enhance registration and billing accuracy.

Conhecimentos

Data accuracy

Attention to detail

Customer service

Formação académica

High school diploma

Ferramentas

Billing software

Descrição da oferta de emprego

Job Summary

Responsible for ensuring accuracy and completeness of patient registration and billing data after the clinical encounter. Provides expertise in reviewing, correcting, and submitting claims to support timely and accurate reimbursement. Coordinates with patients, payers, and internal departments to collect missing information, resolve data errors, and reduce denials. Contributes to process improvements, mentors staff and supports revenue cycle performance by maintaining compliance with organizational policies and regulatory standards.

Essential Functions

• Maintains a queue or worklist of accounts flagged for registration or billing follow-up.
• Independently review and correct claims and charge errors rejected, denied, or suspended due to registration or data issues.
• Contacts patients to collect or clarify workers' compensation, accident, or insurance details including claim numbers, employer, or authorization information.
• Documents communications, tracks responses, and updates patient account records with accuracy.
• Coordinates with employers, insurance carriers, attorneys, or adjusters to obtain required documentation.
• Verifies and obtains subrogation or third-party liability information to support accurate billing.
• Meets departmental KPIs for claim resolution, registration completeness, denial reduction, and accounts receivable performance.
• Collaborates with registration, billing, clinical, coding, and customer service teams to ensure seamless information flow.
• Provides feedback to frontline registration staff to reduce recurring data entry errors.
• Participates in process improvement initiatives to enhance registration and billing accuracy.
• Performs other duties as assigned.

Education Requirement

High school diploma or equivalent

Experience Requirement

2-3 years of experience in patient access, registration, billing, or revenue cycle operations
An equivalent combination of education and experience may be considered. All experience must be paid and in the same related field. Part-time and PRN experience will be prorated based on hours worked per week. Volunteer work and internships for academic credit are not counted.

Certifications & Licensures

N/A

Working Conditions

• A. Lifting, pushing, and/or pulling objects up to 50lbs: 1. Intermittent (10%-50%).
• B. Lifting, pushing, and/or pulling objects over 50lbs: 1. Never.
• C. Standing or walking with objects up to 10lbs: 3. Intermittent (10%–50%).
• D. Standing or walking with objects up to 25lbs: 1. Never to 2. Occasional (not a regular expectation).
• E. Sitting at computer workstation for extended periods: 4. Intermittent (10%-50%).
• F. Risk of back injury from moving, lifting, or positioning patients, equipment, or materials: 1. Never.
• G. Repetitive motion: 4. Regular (> 50% of the time) (typing, data entry, scanning).
• H. Working at heights above 4 feet: 1. Never.
• I. Working in confined spaces: 1. Never.
• J. Risk of injuries from use of equipment on the job: 1. Rare.
• K. Job-related travel: 1. Never to 2. Occasional.
• L. Loud noises: 2. Occasional (< 10% of the time).
• M. Temperature extremes: 1. Never.
• N. Hazardous chemicals and fumes including waste: 2. Occasional (< 10% of the time).
• O. Radiation: 2. Occasional (< 10% of the time).
• P. Burns: 1. Never.
• Q. Cuts/Punctures: 1. Never to 2. Occasional
• R. Bloodborne/airborne pathogens: 3. Intermittent (10%–50%).
• S. Recombinant DNA or viral vectors: 1. Never.
• T. Combative/violent people: 3. Intermittent (10%–50%).
• U. Animal handling (including carcasses): 1. Never.
• V. Please specify others: Exposure to communicable diseases. High-stress environment, frequent patient/family interactions, and potential exposure to traumatic situations.

Physical Demands

This position requires intermittent sitting at a computer workstation for extended periods of time; performing tasks with repetitive motions (such as typing); intermittent standing or walking with objects weighing up to 10 pounds; occasional standing or walking with objects weighing up to 25 pounds; and occasional lifting, pushing, or pulling objects weighing up to 50 pounds. The role also involves frequent standing while performing tasks and frequent walking throughout the work environment.

Department & Details

Department: Patient Registration
Shift: Day (United States of America)
Time Type: Full time
Address: 222 Medical Circle City, State: Morehead, Kentucky

Our growth is creating opportunities! Our team is expanding, and we want to hire the most talented people we can. Continued success depends on it! Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful.