Patient Billing Representative

Unified Women's Healthcare

About The Position

The Patient Billing Representative plays an integral part of the patient care journey, ensuring patients leave the healthcare facility with a clear understanding of their medical care and financial responsibilities. This role involves providing exceptional customer service, managing the billing process efficiently, and facilitating a smooth transition for patients as they continue their treatment journey with CCRM Fertility.

Requirements

High School Diploma or GED required.
Ability to work weekends, evenings, and holidays, on a rotating basis.

Nice To Haves

1+ year medical billing experience preferred.
Previous experience in reproductive medicine or Women’s health preferred.
Prior experience with Athena preferred.

Responsibilities

Manage the patient billing process, ensuring accurate billing, collecting payments, providing necessary instructions, and facilitating a seamless transition for patients billing.
Serve as a point of contact for patients, addressing inquiries and providing exceptional customer service.
Assist inter-company customers with questions regarding insurance matters, current account status, and billing questions.
Complete patient billing procedures including charge posting, payment posting, executing adjustments as appropriate, and special patient financial programs.
Respond to patient questions regarding their account; research self-pay and insurance account activity to provide accurate responses and required actions.
Conduct account audits, review and identify outstanding patient balances; attempt to collect and ensure all efforts are recorded in practice management system.
Accurately post charges for ART cycles and surgeries.
Create Scode claims.
Verify or update insurance information.
Audit end of month scode reports.
Create itemized receipts.
Process refunds requests.
Review EMR to ensure all services rendered and diagnoses are properly coded properly.
Review, correct, and submit billing claims to the patient’s insurance provider.
Perform other duties as assigned.