SBO Specialist | Full-Time, Day Shift

PCRMC Medical Group, Inc. d/b/a Phelps Health Medical Group; Rolla (MO); On-site; USD 32,000 - 46,000; Full time

Job summary

PCRMC Medical Group, Inc. d/b/a Phelps Health Medical Group is seeking an SBO Billing Specialist to deliver customer service and financial counseling to patients with past due balances. You will handle inbound inquiries, contact guarantors, and guide patients through payment options and plans for Hospital and Physician services.

Responsibilities include explaining coverage details, assessing financial assistance options, and maintaining HIPAA compliance while reconciling related banking accounts.

Qualifications

• High school diploma or equivalent required; healthcare billing training preferred.
• Medical billing experience preferred; proficiency in Microsoft Office.
• Ability to handle patient inquiries and explain insurance concepts clearly.
• Experience with billing software and electronic data submission preferred.

Responsibilities

• Provide primary customer service for patient questions on patient responsibilities such as coinsurance, copays, and deductibles.
• Call guarantors regarding past due balances and process payments using secured devices; offer payment plans.
• Explain insurance coverage and payment information for Hospital and Physician services.
• Screen guarantors for financial assistance and process applications.
• Follow HIPAA guidelines when handling patient information; route non-billing issues appropriately.
• Reconcile business banking and credit card accounts.

Skills

Customer service

Financial counseling

Communication

HIPAA compliance

Education

High school diploma

Healthcare billing training

Tools

Billing software

Electronic data submission

Microsoft Office

Job description

The SBO Billing Specialist is responsible for providing customer service and financial counseling for patient due balances (including Hospital and Physician billing services). This includes accepting inbound calls in order to address patient inquiries and making outbound calls to resolve patient balances.

• Provides primary customer service for patient questions on patient responsible portions such as: coinsurance, copays, and deductibles. This will also include explanation of contractual adjustments and discounts. Resolves patient complaints or explains why certain services are not covered by insurance.


• Calls guarantors regarding past due balances and process patient payment using secured devices. Provides patients with payment options including monthly payment plan (within policy) and bank loan financing. Uses secured banking portal to process these loan amounts.


• Explains insurance-related coverage and payment information in order to resolve patient inquiries. This will be for both Hospital and Physician services.


• Screens guarantors and households for financial assistance. Reviews and processes financial assistance applications on patients seeking assistance with outstanding patient portion balances (deductibles, copays, coinsurance and non-covered balances).


• Follows HIPAA guidelines in handling patient information.


• Distinguishes billing complaints from patient care complaints and resolves billing-related issues. Forwards any complaints regarding patient care issues to Guest Relations.


• Reconciles business banking and credit card accounts.

Education

High school diploma or equivalent required. Additional training in healthcare billing or customer service preferred.

Work Experience

Medical Billing experience highly preferred. Proficiency in Microsoft Office. Experience in billing software and electronic data submission preferred.

Mental/Physical Requirements

Ability to receive and express detailed information through oral communications, visual acuity, and the ability to read and understand written directions. Normal mental concentration with repetitive operations for a long period of time. Ability to stand, walk, sit, and reach. Occasionally lifts and transports items weighing up to ten (10) pounds.

Working Conditions

Standard office conditions with more than average noise. Periodic contact with conditions such as fumes, noise, chemicals, hazards, and/or diseases.