The Billing / Collections Representative provides telephone customer service in a high-volume environment by responding to patient questions about an insurance company; Explanation of Benefits (EOB); responding to billing questions or requests for information; collecting patient balances; working denials from insurance companies, and managing the Physician’s Accounts Receivables by handling patient and insurance account follow-up. Requirements: Prior work experience with high volume of incoming and outgoing telephone calls and providing related telephone customer service to patients and insurance carriers. Prior work experience editing the patient account. Prior work experience with, and comprehension of, how to read an EOB and use the EOB to verify whether the payment was correctly posted. Telephone customer service experience responding to questions about an insurance company Explanation Of Benefits (EOB); responding to billing questions or requests for information; and handling patient and insurance account follow-up. Experience with the grievance process if payment is denied or is less than the amount billed Great phone etiquette skills. Good interpersonal skills. Must have professional references. Professional Appearance and Positive Attitude Team Player. Must possess a strong sense of urgency and thrive in a fast-paced, hands-on environment. Experience with Google. Working knowledge of anatomy and physiology, and of medical terminology. Working knowledge of ICD10-CM and CPT-4 manuals to research/verify diagnosis codes (ICD-10) and/or procedure codes (CPT-4). Experience with Athena Practice Management System preferred.
Palm Beach Orthopaedic Institute, PA (PBOI) was established in 1995 as a multi-specialty orthopaedic practice. With four locations in the County, our staff consists of seventeen fellowship trained orthopaedic physicians and more than 100 support staff. PBOI is the premier Orthopaedic physician group within Palm Beach County, Florida. For more information please go to www.pboi.com
Education: High school diploma or equivalent. Some college preferred.
Experience: Minimum one year of medical billing / collections experience.
Performance Requirements:
Knowledge:
- Knowledge of medical billing/collection practices.
- Knowledge of medical practices, terminology and organization services.
- Knowledge of traditional insurance plans, HMO/PPO’s, Medicare, Medicaid, and Worker’s Comp.
- Knowledge of computerized billing, EMR/EPM system
Skills: * Skill in establishing and maintaining effective internal and external working relationships.
- Skill in written and verbal communication and customer relations.
Abilities: * Ability to enter accurate data and examine insurance documents; understand and explain EOB’s.
- Ability to deal courteously and professionally with patients, staff, and others.
- Ability to communicate effectively and clearly.
Job Type: Full-time
Benefits:
- 401(k)
- Dental insurance
- Disability insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Monday to Friday
Work setting:
Work Location: In person