Patient Billing Representative

Select Medical•Camp Hill, PA

8d•Onsite

About The Position

The Patient Billing Representative, Level 1, is responsible for the daily billing process to ensure payors receive accurate and timely claims. The role also involves completing projects and resolving known issues. The position works in an office environment and requires access to confidential and sensitive information, with ongoing discretion and secure information management. The role requires multitasking in a fast-paced environment, strong computer skills, and the ability to prioritize tasks and manage competing deadlines. The representative works independently and as part of a team, communicating with facility staff, management, billing staff, and collection staff to address billing issues.

Requirements

High school diploma or equivalent.
One year of customer service experience in retail, hospitality, banking, or healthcare.
Microsoft Office skills, including Outlook, Word, and Excel.
Ability to work with multiple programs simultaneously.
Good interpersonal skills, including face-to-face, verbal, electronic, and telephone communication.
Accuracy and attention to detail.
Organizational skills.
Good time-management skills to meet deadlines.
Ability to multitask and prioritize competing tasks.
Ability to work independently and as part of a team to achieve mutually established goals.
Flexibility and openness to change.
Ability to maintain discretion and securely manage confidential and sensitive information.
Previous experience in a metrics-based role where production and quality standards are upheld.

Nice To Haves

Healthcare billing experience.

Responsibilities

Review admission documents and verify that information in HMS matches the admission forms.
Process daily billing and ensure all claims are billed within 24 hours of placement into the clearinghouse database.
For commercial accounts, compare HMS information with insurance contract requirements for accuracy at admission, discharge, and set intervals for in-house accounts, using available contract tools.
For Medicare accounts, bill Medicare Secondary Payor (MSP) accounts identified on the MSP spreadsheet and follow up until they are finalized.
Resolve late charges in accordance with the Late Charge Policy.
Verify through insurance company websites or by phone that the insurance company received the bill within 10 days after the billed date.
Follow up weekly on billed accounts for 35 days after the bill date or until payment is issued, whichever occurs first.
Review billing reports and communicate identified issues to appropriate facility staff and management.
Accurately document all activity completed in a patient account in HMS.
Communicate issues identified with insurance carriers to billing and collection staff.
Support Select Medical’s mission, core values, and direction within the CBO and throughout the organization.
Perform additional duties and projects as assigned by the CBO management team.