Patient Financial Services Phone Representative - Full Time - Sioux Falls

$35,360 - $39,520/Yr

Experity - Sioux Falls, SD

Full-time - Entry Level

Sioux Falls, SD

5,001-10,000 employees

Publishing Industries

About the position

The Patient Financial Services Phone Representative plays a crucial role in managing patient accounts and ensuring smooth communication between patients, insurance carriers, and the company. This position involves handling inquiries, processing payments, and maintaining accurate patient information while adhering to coding guidelines and regulations. The representative is also responsible for training new employees and identifying trends in account management.

Responsibilities

• Receive incoming calls and complete account follow-up
• Receive inquiries, concerns, or complaints related to patient accounts from patients, insurance carriers, employers, etc.
• Counsel patients regarding obligations related to account balances
• Review explanations of benefits for correct adjudication and payment according to applicable managed care contract terms and reimbursement
• Apply payments and adjustments to patient accounts as appropriate
• Review and update patient and insurance demographics as appropriate
• Maintain current understanding of applicable coding guidelines, state and federal regulations, and managed care guidelines
• Responsible for notifying management of any trends or denials
• Basic understanding of CPT, ICD-9, and HCPCS coding
• Responsible for resolution and appropriate refunding of credit balances, including working credit balance reports as needed
• Assist with training for new and established employees
• Other duties as assigned

Requirements

• High School degree or equivalent
• At least one year of experience in physician office medical billing (preferred)
• Understanding of managed care (preferred)
• Knowledge of medical terminology (preferred)

Benefits

• Comprehensive coverage starts first day of employment including Medical, Dental/Orthodontia, and Vision
• Eligibility for synthetic ownership in Experity after one year of employment
• Employee Assistance Program including counseling, legal resolution, financial education, and more
• Flexible work scheduling to manage work-life balance
• Generous Paid Time Off (PTO) plan that increases with milestones
• Career development opportunities through a learning program foundation
• Team building events such as family company picnics and holiday parties
• Competitive pay, quarterly bonuses, and a 401(k) retirement plan with employer match