Patient Billing Specialist

Key Responsibilities:

• Review case history to ensure all means to obtain reimbursement from the insurance company have been completed and verify it is appropriate to move forward with the patient billing process.


• Notify the client via email alert or work list that one of their patients is entering the patient billing process.


• Answer questions from the client regarding a patient’s case history.


• Call patients for updated insurance information.


• Call the patients to offer them financial assistance and payment plans.


• Review/approve statement balance.


• Send letters and billing statements to the patients.


• Send financial assistance applications to patients and process returned financial assistance documents.


• Comply with all Patient Billing process, system, and documentation SOPs (Standard Operating Procedure).


• Meet patient billing process time standards by completing assigned worklist tasks in a timely manner and/or reporting to management when assistance is needed to complete the tasks.


• Participate in team meetings by sharing the details of cases worked.


• Act as backup on answering incoming telephone calls as needed.


• Other duties as assigned

Education/Experience:

• High School diploma or GED


• Four or more years of on-the-job experience


• Knowledge of health insurance terminology and the reimbursement process


• Possess superior customer service skills


• Detail oriented


• Ability to maintain confidentiality


• Previous experience working with patients and insurance


• Possess excellent written and verbal communication skills


• Ability to multitask, establish priorities, and work independently