Patient Relations Representative - Medical Billing

Job Description

Job Description

reCLAIM Mission

We reward our staff and encourage team building and professional development. We invest in the stock of our employees and growth is the hallmark of our business model. We want you to enjoy coming to work, and we are looking for long-term employees. reCLAIM Billing Solutions believes in an equal opportunity for each applicant and encourages diversity!

We welcome all who want to join our team!

Position Description

The Patient Relations Representative (PR Rep) is the person who acts as a line of defense against data entry errors and billing errors passing through unnoticed. The #1 goal of the PR Rep is to ensure that patients who are billed are billed correctly. The main task for the PR Rep will be to take phone calls delegated through a queue and work with patients in a cheerful and professional manner to help them understand why they owe what they owe or help fix the information in the software to get the claim paid by the insurance.

Position Responsibilities

1. Answer patient phone calls that are delegated through the queue and work with patients in a cheerful and professional manner.

2. Accurately inform patients why they owe a bill

3. Fix billing or data entry errors previously made to ensure that patients are not billed incorrectly.

4. Use the down time between calls to work projects that help proactively catch billing or data entry errors. These include projects like checking for a patient’s correct home address and/or checking to see if a patient has a secondary insurance.

5. Call patients who owe a balance over $500 and attempt to enact a payment plan as an alternative to sending them to collections.

6. Process patient payments through the credit card merchant services software.

7. Offer payment plans to patients who are struggling to pay their bill or work with the PR Rep’s supervisor for reduction requests.

8. Perform adjustments to patient balances only when authorized by a supervisor.

9. Work with the collection agency and answer their requests for information.

10. Answer requests for information when patients contact us either through our portal or via email

11. Navigate insurance, third party and EHR portals to obtain Patient Health Information (PHI), while maintaining HIPAA standards.

Maintain and monitor trainings and processes that pertain to the PR Rep’s position.

Position Requirements

Technical Skills

• 2 years in relevant experience or successful completion of externship through reCLAIM Billing Solutions
• Bachelor’s degree (preferred)
• Spanish speaker (preferred)
• Revenue Cycle Management (RCM) knowledge
• Candidate will need to know the claim cycle and how claim processing works
• Critical thinking and problem-solving skills
• Meticulous at note taking and organized
• Drive to generate results
• Fast learner
• Ability to work in fast-paced environment and maintain a sense of urgency
• Client-centered mentality and passion for customer service
• Strive for continuous improvement and career advancement

We Are Looking for Team Members Who Are

• Organized and detail specific
• Proponents of logic and reason
• Self-starters in achieving goals
• Enthusiastic and hungry for growth
• Team players who also take instruction well
• Proactively seeking work to complete, while meeting company expectations
• Maintain updated knowledge of the healthcare industry and learn the new policies set by insurance companies
• Organized in performing company tasks and executing the goals set by management
• Punctual and prompt to their responsibilities

Compensation & Perks

Medical benefits: reCLAIM offers Anthem PPO & HMO

Dental benefits: Renaissance Dental with PPO network

Vision benefits: Renaissance with VSP Vision Care network

Supplemental coverage: Hospital Indemnity, Accident Expense, and Short-Term Disability Income

Retirement benefits: 401k options available

Other benefits: Catastrophic insurance, PTO accrual 40 hours per year (2,080 worked hours). Sixteen (16) hours of sick time annually.

We reward our staff and encourage team building and professional development. We invest in the stock of our employees and growth is the hallmark of our business model. We want you to enjoy coming to work and we are looking for long-term employees. reCLAIM Billing Solutions believes in an equal opportunity for each applicant and encourages diversity!

Check us out online!

Company Description

We reward our staff and encourage team building and professional development. We invest in the stock of our employees and growth is the hallmark of our business model. We want you to enjoy coming to work and we are looking for long-term employees. reCLAIM Billing Solutions believes in an equal opportunity for each applicant and encourages diversity!\r\n\r\nCheck us out online! \r\n