About The Position

Performs account maintenance and customer services, including documenting activities, processing patient correspondence, re-billing accounts, responding to telephone inquiries, resolving account issues with payor representatives and/or patients, and updating demographics/insurance information. Analyzes various payor remittance advices. Performs financial counseling, initiates payment plans, processes Care Assurance/Charity patient applications, and provides information regarding these programs. Resolves charge-related issues and credits inaccurate charges. Contacts collection agencies to resolve patient complaints and correct inappropriate placements. Continues education, maintains reference materials, and stays knowledgeable about services, departments, and charges, directing callers as needed. Identifies system problems and edit failures, providing documentation to management and assisting with corrections. Participates in meetings and prepares/distributes meeting minutes. Completes special projects such as increasing cash flow, reducing accounts receivable, and processing invoices.

Requirements

  • High school diploma or equivalent
  • At least three (3) years experience in healthcare billing and/or follow-up or hospital customer service
  • Comprehensive knowledge of healthcare billing and/or follow-up
  • Knowledge of insurance payment procedures and processing
  • Basic telephone etiquette

Responsibilities

  • Performs account maintenance and customer services
  • Documents activities
  • Processes patient correspondence
  • Re-bills accounts
  • Responds to telephone inquiries
  • Resolves account issues with payor representatives and/or patients
  • Updates demographics/insurance information
  • Analyzes various payor remittance advices
  • Performs financial counseling
  • Initiates payment plans
  • Processes Care Assurance/Charity patient applications
  • Provides information regarding Care Assurance/Charity programs
  • Resolves charge related issues
  • Credits inaccurate charges
  • Contacts collection agencies to resolve patient complaints and correct inappropriate placements
  • Continues education
  • Maintains reference materials
  • Maintains knowledge of services, departments, and charges
  • Directs callers to the appropriate entity as needed
  • Identifies system problems and edit failures
  • Provides documentation to management
  • Assists with correction process
  • Participates in meetings
  • Prepares and distributes meeting minutes
  • Completes special projects (e.g., increase cash flow, reduction in accounts receivable, process invoices)
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