Customer Service & Patient Collections Associate

Roessel Joy • Westwood, MA

1d

About The Position

This role involves responding to a high volume of patient inquiries regarding billing and account-related issues. The associate will research and resolve these inquiries by collaborating with insurance companies and other external contacts, communicating findings accurately and promptly. Responsibilities include collecting outstanding balances, updating patient information, and verifying insurance eligibility. A key aspect of the role is understanding and applying hospital and professional billing practices, such as interpreting EOBs, billing various payers, resolving claim denials, and assisting patients with insurance-related matters like coordination of benefits. The associate will also address complex patient concerns related to payer denials, coding questions, secondary billing, and verification of patient financial responsibilities.

Requirements

• Experience in responding to patient inquiries via phone, mail, and electronic messaging.
• Experience in researching and resolving billing inquiries.
• Experience in collecting outstanding balances.
• Experience in updating patient demographic and insurance information.
• Experience in verifying insurance eligibility.
• Understanding of hospital and professional billing practices.
• Ability to read and interpret Explanation of Benefits (EOBs).
• Experience billing commercial and government payers.
• Experience resolving claim denials.
• Ability to assist patients with coordination of benefits (COB) and other insurance-related issues.
• Ability to respond to complex patient and guarantor concerns.

Responsibilities

• Respond to a high volume of patient inquiries via phone, mail, and electronic messaging regarding a wide range of billing and account-related issues.
• Research and resolve patient billing inquiries by working with insurance companies, third-party payers, and other external contacts. Communicate findings accurately and promptly to patients and guarantors.
• Collect outstanding balances and update patient demographic and insurance information during patient interactions.
• Verify insurance eligibility using payer websites, available technologies, and direct communication with insurance companies.
• Understand and apply hospital and professional billing practices, including reading and interpreting Explanation of Benefits (EOBs), billing commercial and government payers, resolving claim denials, and assisting patients with coordination of benefits (COB) and other insurance-related issues.
• Respond to complex patient and guarantor concerns, including payer denials, coding questions, secondary billing, coordination of benefits, and verification of copays, coinsurance, and deductibles.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed