Billing Representative II
About The Position
As a Billing Representative – Third Party you’ll play a critical role in creating a quality experience that impacts the financial well-being of our patients. You’ll be the expert problem solver as you work to quickly identify, analyze and resolve issues in a fast-paced environment. This is your chance to take your career to the next level as you support teams by reviewing and investigating claims. Bring your listening skills, emotional strength and attention to detail as you work to ensure every claim has a fair and thorough review. You will leverage your skills and have the ability to: Multi-task and work independently and as part of a team. Demonstrate excellent communication, organization and problem solving. Adapt to change in a fast-paced environment. Join a cross functional focused team with many opportunities for cross-training and skill/career development. This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:00 am - 4:30 pm EST. It may be necessary, given the business need, to work occasional overtime. This includes the job training, and the hours of the training will be aligned. In an environment where the patient is at the center of everything that we do the individuals in this position typically works with Billing Representatives and other employees handling complex billing issues for the purpose of collecting revenue for the organization. Will work with Patient, Client and/or Third Party insurance bills.
Requirements
- Must be 18 years of age or older
- 1+ years of experience in Quest Billing system (QBS) and / OR Web Billing System (WBS)
- 1+ years of experience in Accounts Receivable, Billing, or Customer Service within the healthcare insurance or healthcare industry
- Ability to use computer and Windows PC applications, such as Outlook, Excel, PDF, instant message, video conferencing
- Keyboard and navigation skills and ability to learn new computer programs
- Reside within Eastern Standard Time Zone
- May occasionally need to go into office for Mailing of Appeals
- High School Diploma or Equivalent
- High School Diploma or Required Work Experience (Required)
Nice To Haves
- Medical terminology acumen and experience
- Previous work experience in a fast-paced environment requiring strong multi-tasking and problem-solving skills
- Ability to read and interpret Explanation of Benefits.
- Ability to exhibit empathy and be courteous to callers, to triage and handle escalated situations, to resolve calls, avoiding escalated complaints
- Ability to work in a fast-paced environment
- Ability to adapt to changes
- Ability to develop and maintain client relationships
Responsibilities
- Reviews and research denied claims by navigating multiple computer systems and platforms, to accurately capture data/information for processing.
- Interprets explanation of benefits for appropriate follow up action.
- Communicates and collaborates with members or providers to evaluate claims errors/issues, using clear, simple language to ensure understanding.
- Conducts data entry and re-work for adjudication of claims.
- Adheres to all departmental Business Rules and Standard Operating Procedures.
- Creates worklist through Access database and manipulate data to analyze for trends and resolve claims for adjudication.
- Focuses efforts on decreasing the Accounts Receivable, increasing cash, and/or reducing bad debt.
- Utilizes automation tools to verify eligibility, claim status and/or to obtain better billing information.
- Works on various other projects as needed.
- Meets the performance goals established for the position in the areas of efficiency, accuracy, quality, patient and client satisfaction and attendance.
Benefits
- Day 1 Medical, supplemental health, dental & vision for FT employees who work 30+ hours
- Best-in-class well-being programs
- Annual, no-cost health assessment program Blueprint for Wellness® healthyMINDS mental health program
- Vacation and Health/Flex Time
- 6 Holidays plus 1 "MyDay" off
- FinFit financial coaching and services
- 401(k) pre-tax and/or Roth IRA with company match up to 5% after 12 months of service
- Employee stock purchase plan
- Life and disability insurance, plus buy-up option
- Flexible Spending Accounts
- Matching gifts program
- Education assistance through MyQuest for Education
- Career advancement opportunities and so much more!
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
Number of Employees
5,001-10,000 employees
