Overview

Responsible for the proper and timely processing of claims, payments, and various other electronic transaction and processes. Contacting and arranging payment for delinquent accounts through direct patient contact.

Responsibilities

Responsible for claim processing

Responsible for processing payments to/from third-party providers daily

Responsible to prepare associated correspondence on information requests

Ensures payment system files and information is correct and resolves issues as appropriate.

Responsible for handling delinquent patient accounts.

Monitors the patient payment agreement process.

Responsible for performing general clerical duties to include assisting in answering telephone inquiries regarding patient bills and other inquiries

Promotes a positive work culture and upholds clinic policies and procedures, including the WE CARE standards of Behavior

Must uphold confidentiality at all times in regards to CBHA activities, reports, financials, patient health information and other proprietary information specific to CBHA

Other duties as assigned

Qualifications

Professional and Technical Knowledge:

Possesses general work-related skills at a higher level than completion of high school, including written and verbal communications skills, computational and computer skills, and mathematical knowledge frequently acquired through completion of a "business school (non BA/BS)" or "associates degree" type program

Minimum of one (1) year experience in medical billing department or other billing service

Possesses basic understanding of medical terminology and procedures

Possesses knowledge of healthcare insurance claims practices and rules for compliance

Technical Skills:

Ability to prepare basic correspondence and simple reports in Microsoft Word

Ability to use Microsoft Excel to create tables and simple displays of information

Ability to prepare and interpret financial and statistical reports

Ability to create basic presentations in Microsoft PowerPoint

Communication Skills:

Ability to provide effective communication of information during informal and formal verbal presentations

Ability to provide effective communication of information in written (including electronic) correspondence

Ability to communicate complex concepts in a clear effective manner for a general audience

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Patient Financial Service Representative