Patient Billing Specialist

Quadax Careers & Culture•Middleburg Heights, OH

3d•Onsite

About The Position

The Patient Billing Specialist is responsible for reviewing case history to ensure all means to obtain reimbursement from the insurance company have been completed and to verify it is appropriate to move forward with the patient billing process. This role involves communicating with clients, patients, and internal teams to manage the billing process efficiently and compliantly. The specialist will also handle financial assistance applications and ensure adherence to all standard operating procedures.

Requirements

High School diploma or GED
Four or more years of on-the-job experience
Knowledge of health insurance terminology and the reimbursement process
Possess superior customer service skills
Detail oriented
Ability to maintain confidentiality
Previous experience working with patients and insurance
Possess excellent written and verbal communication skills
Ability to multitask, establish priorities, and work independently

Responsibilities

Review case history to ensure all means to obtain reimbursement from the insurance company have been completed and verify it is appropriate to move forward with the patient billing process.
Notify the client via email alert or work list that one of their patients is entering the patient billing process.
Answer questions from the client regarding a patient’s case history.
Call patients for updated insurance information.
Call the patients to offer them financial assistance and payment plans.
Review/approve statement balance.
Send letters and billing statements to the patients.
Send financial assistance applications to patients and process returned financial assistance documents.
Comply with all Patient Billing process, system, and documentation SOPs (Standard Operating Procedure).
Meet patient billing process time standards by completing assigned worklist tasks in a timely manner and/or reporting to management when assistance is needed to complete the tasks.
Participate in team meetings by sharing the details of cases worked.
Act as backup on answering incoming telephone calls as needed.
Other duties as assigned.