Patient Services Representative

Cancer Specialists LLC•Jacksonville, FL

2d•Onsite

About The Position

Cancer Specialists of North Florida is recruiting for an experienced Patient Services Representative for our busy Southside Office. The Patient Services Representative is responsible for performing the general business office functions ie: billing and claim submissions; charge capture and payment posting; insurance verification and eligibility; obtaining pre-authorization; counseling patients and families on insurance and payment issues; and account follow-up and payment resolution. May assist patients and families with obtaining community resources including, but not limited to, housing, transportation, and financial support. Essential duties and responsibilities include the following: Ensures all insurance, demographic, and eligibility information is obtained from patients and entered into the system in an accurate and timely manner. Registers patients in the system as necessary. Collects and reviews all patient insurance information and completes insurance forms. Collects co-pays, deductibles and other out of pocket amounts at the time of visit. Confirms patient insurance verification and eligibility. Obtains pre-authorization of services and/or referrals. Assesses patient financial requirements and advises patients and families on insurance benefits, co-pays and financial obligations. Posts line items and adjustments to patient accounts. Balances receipts, reconciles daily work batches and prepares audit trail. Prepares deposits for bank as needed. Reviews Explanation of Benefits (EOB) for consistency. Submits files and processes all claims for payment. Researches and resolves claim delay issues. Resolves patient questions and complaints regarding insurance billing and adjusts accounts as necessary. Resubmits claims and processes all insurance/patient correspondence. Provides all documentation to expedite payment. Follows-up on assigned accounts. Uses collection techniques to keep accounts current including monitoring for delinquent payments. Sets-up financial arrangements with patients as necessary. As necessary, assists patients with researching and obtaining community resources including housing, transportation, drugs and pharmaceutical supplies, and financial resources. All other duties as assigned. Full-time position Location Address: 7015 AC Skinner Parkway, Suite 1, Jacksonville, FL 32256

Requirements

High School Diploma or equivalent required.
Minimum two (2) years in a medical business office setting.

Responsibilities

Ensures all insurance, demographic, and eligibility information is obtained from patients and entered into the system in an accurate and timely manner. Registers patients in the system as necessary.
Collects and reviews all patient insurance information and completes insurance forms. Collects co-pays, deductibles and other out of pocket amounts at the time of visit.
Confirms patient insurance verification and eligibility. Obtains pre-authorization of services and/or referrals. Assesses patient financial requirements and advises patients and families on insurance benefits, co-pays and financial obligations.
Posts line items and adjustments to patient accounts. Balances receipts, reconciles daily work batches and prepares audit trail. Prepares deposits for bank as needed.
Reviews Explanation of Benefits (EOB) for consistency.
Submits files and processes all claims for payment. Researches and resolves claim delay issues.
Resolves patient questions and complaints regarding insurance billing and adjusts accounts as necessary. Resubmits claims and processes all insurance/patient correspondence. Provides all documentation to expedite payment.
Follows-up on assigned accounts. Uses collection techniques to keep accounts current including monitoring for delinquent payments.
Sets-up financial arrangements with patients as necessary.
As necessary, assists patients with researching and obtaining community resources including housing, transportation, drugs and pharmaceutical supplies, and financial resources.
All other duties as assigned.