Billing Patient Service Representative - Accounts Receivable

Billing Patient Service Representative

Keep patient care running smoothly behind the scenes.

Virginia Oral & Facial Surgery is seeking a detail-oriented Billing Patient Service Representative to join our Accounts Receivable team. We're seeking an organized individual who understands the important role accounts receivable plays in supporting both the financial health of the practice and the overall patient experience. This role is responsible for assigned medical and dental insurance claims, processing and posting insurance denials and payments, and following up on outstanding insurance claims and payment issues. The ideal candidate is organized, proactive, and committed to delivering both accuracy and efficiency while contributing to a positive and collaborative work environment.

What You'll Do:

• Review all insurance claims for accuracy and obtain appropriate attachments prior to submission.
• Place inaccurate claims on hold for clinic assistance.
• Post insurance payments and write-offs for assigned insurance companies ensuring payments and write-offs are correct according to current contracted rates.
• Post insurance denials and pends for information.
• Contact insurance companies verbally, in writing, and/or via email to correct payment issues and investigate insurance denials.
• Run and resolves insurance aged receivable report.
• Resubmit claims as needed.
• Write up refund requests when overpayment occurs.
• Scan and maintain copies of all EOBs.
• Complete daily deposits for individual work and balance daily.
• Answer insurance company phone calls and billing inquiries.
• Assist peers as needed.
• Other duties as assigned by manager.

What You'll Need:

• Minimum of one-year (1) experience in similar position, required.
• Ability to interpret insurance EOB's and coordination of benefits, and basic understanding of insurance credentialing process.
• Strong verbal and written communication skills, ability to perform accurate and detailed oriented work.
• Previous experience in a dental and/or medical practice, preferred.

What It Takes:

• Prolonged periods of sitting.

How We'll Take Care of You:

• Medical, dental, vision with employer contribution
• Life Insurance
• Supplemental Benefits
• Flex-spending Accounts
• Dependent Care Accounts
• Paid Time Off
• Paid Holidays
• Training Programs
• 401K Retirement, with employer contribution
• Employee Discounts

Carolinas Center for Oral & Facial Surgery