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Billing Support - Collections Representative (PFS)

Company: Bayhealth
Location: Seaford
Posted on: November 22, 2021

Job Description:

Position SummaryEntry level medical billing customer service, collection, and payment processing activities. Ability to understand insurance explanation of payment/benefits from all payers. Answers patient telephone billing inquiries for all Bayhealth provider entities. Researches and interprets insurance company explanation of benefits for patients and provides accurate information in explanation of denials. Verifies and adds insurance, undoes and initiates billing as necessary to facilitate claim submission, applies any undistributed amounts to resolve balances. Follows up as necessary to achieve patient satisfaction related to billing services. Monitors current call volumes to determine when to make outbound calls and/or take inbound contributing to an environment with a call low call abandonment rate. Works under limited supervision seeking assistance from supervisor as needed to resolve patient concerns.QualificationsEducation: High School Diploma, GED, or equivalent certification required; Associates Degree preferred.Experience: Minimum of o neyear medical billing and collections (including medical, dental & vision) for payers. In lieu of medical billing and collection experience, 3 years work experience in a customer service setting may be considered . Such e xperiencemustinclude responding to billing inquiries and complaints and seeing them through to resolution.Computer & Software Knowledge: Position requires an I ntermediate level of computer literacy. Working knowledge of Epic Electronic Medical Record is preferred.Special Knowledge, Skills, and/or Abilities required of Collections Representative:Strong customer service skills.Position requires basic knowledge of applicable Federal, State and commercial insurance regulations, insurance plans, member eligibility and medical billing and collections.Understanding medical billing claim forms.Exceptional written, verbal and interpersonal communication skills; must demonstrate ability to articulate information in a clear and informative manner.Ability to read and interpret documents such as an Explanation of Benefits and/or Remittance Advice and properly identify denials and patient responsibility amounts from remittances requiredDetail oriented, strong problem solving and analytical skills.Knowledge of patient accounting principles.Knowledge of collection agency guidelines/practices preferred.Knowledge of credit card payment processingAbility to gather and comprehend pertinent informationSkilled in dealing with difficult people and possess strong negotiation skills.Ability to multitask and use multiple windows/programs at one time.Must be proficient in reading, writing, and speaking English.Bilingual preferred.

Keywords: Bayhealth, Baltimore , Billing Support - Collections Representative (PFS), Accounting, Auditing , Seaford, Maryland

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