Billing Patient Relations Specialist II

Epiphany Business Services, LLC•Austin, TX

2h•Hybrid

About The Position

Epiphany Dermatology is seeking a service-oriented, motivated individual to join them as a Billing Patient Relations Specialist II. This role is crucial in supporting essential billing and collections functions across multiple insurance carriers and private-pay accounts. The company is a fast-growing dermatology services company with a mission to improve access to dermatology services and provide exceptional patient care in underserved markets across the U.S. They have expanded from a single site in 2015 to over 100 dermatological clinics nationwide and plan to increase their reach further in the next four to five years. Epiphany Dermatology values its employees and offers great benefits, perks like free skin care, generous time off, opportunities for growth, and a chance to be part of a purpose-driven organization.

Requirements

High school diploma or general education degree (GED)
One (1) to two (2) years of related experience in medical billing, and/or at least one (1) year of employment at Epiphany Dermatology; an equivalent combination of tenure, experience, and education may also be considered.
Team player with excellent customer service skills.
Knowledgeable on all things medical billing.

Nice To Haves

Previous experience in administrative medical office - highly preferred.
Experience with Modernizing Medicine is a plus.

Responsibilities

Provide exceptional customer service at all times!
Maintain thorough and detailed knowledge of insurance, self-pay billing, follow-up guidelines, and regulations for third party vendors.
Exhibit an understanding of state and federal billing and follow up regulations as it relates to Medicare, Medicaid, Managed Care, and Commercial Insurance companies.
Explain the claims process and explanation of benefits effectively and professionally.
Demonstrate knowledge of standard bill forms and filing requirements.
Verify that charges have been entered and approved in accordance with company policy for every checked-in appointment (missing charges report).
Perform routine clerical and administrative functions, including answering incoming phone calls.
Prepare, review and transmit claims using billing software.
Process Insurance overpayments and patient refunds in a timely fashion in accordance with company policy as well as government guidelines/regulations.
Support billing department and call center, as needed, and in areas that do not create internal control conflict.
Maintain a strong understanding of business office processes—especially payment posting and charge review—and stay up to date on Modernizing Medicine enhancements to ensure accurate daily reconciliation of payments, claims, adjustments, and charges.
Cross-train on other Billing positions including Insurance Verification, Claim Coding, and Appeals.
Utilize downtime to achieve maximum work and serve as back up for business office positions when needed.
Other duties as assigned.