PATIENT SERVICE REP - BILLING AND INSURANCE

JOB SUMMARY:

Reporting to the Business Office Manager, this position works to obtain maximum reimbursement for services and advocates for proper insurance payments. Key duties include managing insurance denials, submitting claims promptly, and utilizing the billing claim scrubber to ensure claim accuracy. A strong understanding of Explanation of Benefits (EOBs), remittance advice, and claim details is essential. This role requires in-depth knowledge of insurance regulations and the flexibility to work across all insurance types, with the potential to focus on a specific payer. He/she will need to demonstrate strong customer service skills, with the ability to clearly explain patient financial responsibilities and respond accurately to insurance-related inquiries. This role also provides general office support and performs additional duties as needed.

 Minimum knowledge, skills, and abilities:

·         High school graduate.

·         Previous healthcare billing experience desired.

·         Ability to read and communicate effectively in English.

·         Basic computer knowledge.

·         Experience in bookkeeping, insurance filing, and/or accounts receivables preferred.

Strong mathematical skills desired