Enrollment/Billing Representative

Enrollment/Billing Representative

Requirements

• HS Diploma or GED required
• Customer service experience; healthcare/insurance industry preferred
• Patient billing and collections experience preferred
• PC Skills including Microsoft Outlook, Excel, Word and Internet
• Strong written & verbal communication skills
• Detail oriented and strong organizational skills
• Self-starter and team player; willingness to learn
• Focus on quality and service
• Demonstrated ability to meet multiple deadlines and manage a heavy workload
• Integrity to handle sensitive or confidential information is critical

Responsibilities

• Prepare and review claims to ensure billing accuracy according to payor requirements.
• Pursue collection activities to obtain reimbursement from payors.
• Contact payor to request overrides, retro authorizations, additional documentation, window extensions, etc. to ensure invoice has necessary elements for reimbursement or to work a rejected claim (denial).
• Frequent follow up with payers and/or patients on outstanding accounts.
• Respond to billing inquiries and questions relating to patient accounts.
• Frequently use phone/email/portal communications with patients and payors.

Preferred Qualifications

• Customer service experience; healthcare/insurance industry preferred
• Patient billing and collections experience preferred