Patient Billing Representative

Select Medical•Camp Hill, PA

About The Position

The Patient Billing Representative, Level 1, is responsible for the daily billing process, ensuring payors receive accurate and timely claims. The role also involves completing projects and resolving known issues. The position works in a fast-paced, team-oriented office environment and requires accurate handling of confidential and sensitive information.

Requirements

High school diploma or equivalent.
One year of customer service experience in retail, hospitality, banking, or healthcare.
Computer skills, including Microsoft Outlook, Word, and Excel, and the ability to work with multiple programs simultaneously.
Good interpersonal skills, including face-to-face, verbal, electronic, and telephonic communication.
Accuracy and attention to detail.
Organization and good time-management skills to meet deadlines.
Ability to multitask and prioritize competing tasks.
Ability to work independently and as part of a team toward mutually established goals.
Flexibility and openness to change.
Ongoing discretion and secure information management when handling confidential and sensitive information.
Ability to work 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 is consistent with the admission forms.
Process daily billing and ensure 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 the accounts are finalized.
Resolve late charges in accordance with the Late Charge Policy.
Verify through websites and/or phone that insurance companies have received bills no later than 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 comes 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.