Customer Service Phone Billing Representative (53499)

 Posted 2 hours ago
     
0-2 years experience
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AI Summary

The representative handles billing and collection inquiries for patients and insurance companies while managing denials and authorizations. They are responsible for maintaining reimbursement flow and ensuring compliance with state and federal regulations.
Job DetailsJob Location: Houston Head Office - Houston, TX 77070Position Type: Full TimeJob Category: Health CarePerformance Home Medical has been a leader in providing quality products and services since 1995.   At Performance Home Medical, our patients come first. Using the latest technology and best clinical support, we help our patients take control of their conditions and live longer and healthier.   We are seeking a motivated, high energy, individual to join our Billing Center phone team. As a part of our Billing phone team, you must be responsible, reliable, detail orientated and can multitask in a fast-paced environment. You must also have good people skills to deal with patients, referral sources, and insurance companies on the phone and internet. Previous professional experience or educational background in healthcare customer service or intake is a plus but not required. A background in medical equipment preferred but we will train the right candidate. We’ve got a fun, positive, performance-oriented team with a great culture and offer an extensive benefits package including Medical, Dental, Vision, Life, AD&D, 401k, EAP, 8 paid holidays and more. We also offer a comprehensive onboarding and training program to help ensure your success.  Job descriptions and needs would entail but not limited to: Answers billing and collection questions for patients, referral sources and coworkers Works closely with PHM’s billing and collections services for both insurance plans and patient’s private pay balances Assists PHM’s billing and collections services with denials Maintains and requests on-going authorizations when required to assure flow of revenue Maintains a high level of knowledge and understanding of the insurance guidelines for all payers within the PHM designated patient base Works designated reports to maintain all avenues of reimbursement flow smoothly Follows insurance plan guidelines as well as State and Federal Regulations Other duties assigned by manager   Qualifications Ability to learn quickly. Team player that will contribute for a professional and fun environment to work in. Reliable internet access is required to ensure smooth communication and performance in a remote setting. Prioritize multiple tasks efficiently and independently in a fast-paced environment. Competency in working within a healthcare billing and records system a plus. Answering patient and insurance phone calls with questions regarding invoice and insurance documentation requirements. Troubleshooting patient issues with their account including detailed review of invoices submitted to their insurance companies. Ability to de-escalate situations involving dissatisfied patients.  

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