Patient Billing/Services Representative II - Orthopedic Surgery

Patient Billing Services Representative II

The Patient Billing Services Representative II is the face of our department and often the first impression of Orthopedic Surgery. They are responsible for providing excellent customer service and creating a positive experience for all patients and visitors. This role involves ensuring all check-in and registration are complete and accurate, verifies insurance and referral needs, handles patient inquiries, checks patients out upon completion of their visit and schedules appointments as needed. Works as a team to ensure operations run smoothly in our fast-paced clinics. May require local travel to cover other Orthopedic locations.

Primary Duties & Responsibilities:

• Check in/check out scheduled patients. Ensure registration is accurate. Update and verify patient insurance, referrals and demographic information in EPIC as needed.
• Schedule walk-in and same-day appointments
• Collect copayments, DME payments, Self-pay/Pre-pay and Past Due balances. Ensure good faith estimates are entered for self-pay patients in compliance with the No Surprise Billing Act. Balance cash drawer and prepare daily deposit.
• Complete required HIPAA training. Strictly adhere to HIPAA regulations and all Orthopedic/front desk policies. Complete all other University and department yearly training.
• Maintain familiarity with insurance companies and their requirements. Collaborate with our Pre-Arrival team to ensure insurance/referral information is obtained and accurate.
• Act as patient liaison requesting additional services for patients as needed.
• Act as concierge to waiting patients. Round waiting rooms to ensure patients are aware of wait times and their needs are met. Tidy waiting area etc.
• Contribute to a culture of teamwork, accountability, and continuous improvement.
• Performs other duties as assigned.

The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time.

Required Qualifications:

Education: High school diploma or equivalent high school certification or combination of education and/or experience.

Certifications /Professional Licenses : Basic Life Support - American Heart Association, Basic Life Support - American Red Cross

Work Experience: Billing Systems And Third-Party Claims And/Or Medical Office Setting, Related Customer Service (3 Years)

Skills: Not Applicable

Driver's License: A driver's license is not required for this position.

More About This Job:

• Basic Life Support certification must be obtained within one month of hire date.
• Basic Life Support certification (Online BLS certifications, those without a skills assessment component, are not sufficient to meet the BLS requirements).

Preferred Qualifications:

Education: No additional education unless stated elsewhere in the job posting.

Certifications /Professional Licenses : No additional certification/professional licenses unless stated elsewhere in the job posting.

Work Experience: No additional work experience unless stated elsewhere in the job posting.

Skills: Customer Service, Effective Written Communication, Epic EHR, Financial Information, Insurance, Interpersonal Relationships, Interprocess Communication, Medical Billing and Coding, Medical Insurance Claims, Office Organization, Organizing, Professional Etiquette, Scheduling, Team Collaboration

Grade: C06-H

Salary Range: $17.89 - $26.35 / Hourly The salary range reflects base salaries paid for positions in a given job grade across the University. Individual rates within the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions within the same grade and department budget.

Washington University in St. Louis