SBO Specialist | Full-Time, Day Shift

Phelps Health; United States; On-site; USD 38,000 - 48,000; Full time

Job summary

Phelps Health is seeking an SBO Billing Specialist to provide customer service and financial counseling for patient due balances, including hospital and physician billing services. You will handle inbound calls and make outbound calls to resolve balances.

Responsibilities include explaining insurance coverage, processing payments, offering payment plans, screening for financial assistance, and ensuring HIPAA compliance while reconciling accounts.

Qualifications

• High school diploma or equivalent required; healthcare billing training preferred.
• Medical Billing experience preferred; proficiency in Microsoft Office required.
• Experience with billing software and electronic data submission preferred.

Responsibilities

• Provides primary customer service for patient questions on patient responsibility portions (coinsurance, copays, deductibles).
• Assists guarantors with past due balances and processes payments using secured devices; offers payment plan options.
• Explains insurance-related coverage and payment information for Hospital and Physician services.
• Screens guarantors for financial assistance and processes applications for patient balance assistance.
• Follows HIPAA guidelines in handling patient information.
• Distinguishes billing from care issues and routes as needed; reconciles banking and credit card accounts.

Skills

Medical Billing

Microsoft Office

Billing software

Electronic data submission

Education

High school diploma or equivalent

Tools

Billing software

Microsoft Office

Electronic data submission systems

Job description

Phelps Health is a 2000-employee-strong hospital and healthcare system serving the heart of small-town Missouri.

No matter where you start with us, we’re committed to taking our team to the top. If you’re ready for the challenge of providing life-saving care or supporting those who do, read on to find your fit in the Phelps Health family.

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General Summary

• 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.

Essential Duties and Responsibilities

• 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.

Certification/License

• Certification/License

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.

At Phelps Health, we think we have a better team, benefits, and opportunities for growth than anyone else around, and we invite you to see for yourself!