Job Information
Jennie Stuart Medical Center, Inc. Business Office Patient Billing Representative-Full Time in Hopkinsville, Kentucky
Responsible for correctly processing healthcare claims in order to obtain reimbursement from insurance companies, government healthcare program, and patients.
Required Skills
Customer Services:
Provides exceptional customer service.
Answering and referring inquiries within scope of business services.
Telephone: Answers telephone, processes call, and document appropriately. Returns all messages in a timely manner.
Maintains communication between medical providers, administrative staff, and/or patient/families.
Business Services:
Assigns ICD-10, CPT, and HCPCS codes based on provider documentation.
Reviews charges entered by providers and communicates with providers possible claim issues.
Prepares and submits claim for insurance reimbursement.
Reviews, works, and corrects both internal errors and denials from insurance companies and re-files the claim.
Files appeals to carriers according to prescribed guidelines, documents all information related to appeals and follows up.
Scans and uploads patient clinical documents into medical chart.
Ensures all provider services are accounted for and billed.
Handles billing complaints and discrepancies.
Assists patients with the collection of payments on outstanding balances.
Environmental Services:
Contributes to the overall cleanliness and appearance of personal work space and department.
Monitors supply levels and requests when needed.
Maintains all equipment. Evaluates all equipment for damage or maintenance needs and reports when needed.
Required Experience
Minimum Education: High School diploma or G.E.D equivalent
Work Experience: One year or more experience in a medical office working with insurance claims.
Required License/ Certification/Registration: None
Skills:
Communication Excellence
Knowledge and ability to work in accordance federal and state regulations
Ability to work tactfully and effectively with patients, family members, other employees and physicians.
Analytical abilities
Word Processing / Computer
Strong customer service
Multi-tasking
Time Management
Organization
Attention to Detail
Professionalism / Positive Attitude
Quality Focus
Adaptability