Business Office Rep - Biller/Collector

UHS • Conway, SC

3d

About The Position

Lighthouse Behavioral Health Hospital is seeking a Business Office Representative responsible for compiling itemized hospital bills, verifying patient insurance coverage, and calculating patient insurance benefits. The representative provides financial counseling to patients with financial obligations and works closely with the Admitting Office, Medical Records, Utilization Review, and physicians' office staff. The position also participates in performance improvement and CQI activities.

The role includes verifying insurance and demographic information, preparing and submitting hospital bills and claims, following up on unpaid insurance claims and delinquent accounts, and keeping an upfront log current. The representative is expected to communicate politely with patients and personnel, remain informed about insurance plans and contracts, and work flexibly and effectively in stressful situations.

Requirements

• High school diploma required.
• 1–3 years of related work experience required.
• Demonstrated experience in proactive and effective upfront collections.
• Experience with Excel.
• Experience in medical billing.
• Hospital experience.
• Experience with explanation of benefits.
• Experience in insurance and accounts receivable.

Responsibilities

• Verify hospital insurance information.
• Compile hospital bills, complete appropriate forms, and submit claims to the appropriate agencies or insurance companies.
• Contact patients and insurance companies to collect unpaid insurance claims.
• Verify insurance and demographic information in the computer system.
• Stay informed about changes in insurance plans and contracts.
• Follow up on all accounts within 30 days until paid.
• Manage delinquent accounts.
• Move self-pay accounts to collections when appropriate under policy.
• Keep the upfront log current with daily activity and discharges.
• Answer the telephone politely and communicate information to appropriate personnel.
• Provide financial counseling to patients with financial obligations.
• Work with the Admitting Office, Medical Records, Utilization Review, and physicians' office staff.
• Participate in performance improvement and CQI activities.

Benefits

• Competitive compensation and generous paid time off.
• Medical, dental, vision, and prescription drug plans.
• 401(k) with company match.
• Discounted stock plan.
• SoFi Student Loan Refinancing Program.
• Career development opportunities within UHS and its subsidiaries.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED