Patient Account Specialist
PMC Medical Group is seeking a dynamic individual to join our billing department. This is a remote role but will only consider applicants from New Hampshire, Maine and Massachusetts.
Review and analyze the patient account activity, review and address patient balances, obtain referrals, verify insurance eligibility and address any coordination of benefits issues with the patient. Review the explanation of benefits to verify that payments and adjustments have been posted timely and accurately.
Essential Functions:
Obtain insurance referrals and authorizations
Verify current coverage and insurance benefits
Contact patients for payment and review of balances
Assist patients with insurance, billing, coordination of benefits and balance concerns
Check and review provider daily patient schedule
Communicate scheduling issues and insurance problems to the front office
Ability to follow Company and legal HIPAA guidelines
Assist in quality improvement of department
Participate in regularly scheduled department meetings
Actively participate in safety of department
Maintain confidentiality and protect sensitive data
Adhere to organizational and department specific safety standards and guidelines
Work collaboratively with members of billing department
Maintain a professional appearance when in the office
Maintain a courteous, considerate and respectful demeanor with patients and co-workers
Adhere to organizational and department specific safety standards and guidelines
Maintain consistent attendance, reliability and punctuality
Accept constructive criticism and attempt to use it to improve personal practice
Make appropriate arrangements for absences
Benefits: Health, dental, vision, life and disability insurance, and retirement savings.
Education: High School diploma or equivalent
Experience: 2-5 years in all areas of insurance verification and COB resolution