Job Openings

Medical Biller

Job ID: BH344557

Category: Medical Billing

Specialty: Accounting & Finance

Client Job Title: Medical Biller

Contract Duration/Contract to Hire/Direct Hire

Job Location: Westwood.  Must be onsite.  30 Perwal Street | Westwood, MA  02090

Hours:  (Would love someone to take a 10:30-7:3 shift but ok with 8:30-5:30 as well)

Company Information, Industry, Size: Large Healthcare provider

Interview Process: Virtual

Must Haves:

  • Healthcare or Medical Billing experience

Preferred:

  • Meditech
  • Athena

Job Summary/Description:

Summary: 
The Patient Financial Services (PFS) representative will serve as a primary support to patients regarding any concerns related to billing, self-pay balances, insurance payments, and all other financial matters. This position will also help in collection of patient payments, setting up payment agreements and assisting in portal services.

Responsibilities: 

  • Provide patients with World Class service
  • Answer incoming patient phone calls and make outbound collection calls on open balances
  • Update patient insurance, confirming eligibility and queue claims for billing
  • Update demographic and guarantor information in the Patient Accounting System
  • Act in a professional manner and treat patients, co-workers, and leadership with respect at all times 
  • Troubleshoot and identify patient billing issues to resolve them to patient’s satisfaction
  • Ability to explain and discuss and PFS policies for better patient understanding
  • Educate patients about third party and insurance processes, their plan benefits, and how they affect patient balances 
  • Evaluate accounts from both an insurance and self-pay perspective 
  • Evaluate accounts for self-pay refunds
  • Manage and work queues and worklists in patient billing system
  • Advocate for patients and contact insurance companies on their behalf, when necessary, to resolve disputes
  • Assist with patients with access to the Patient Portal and password resets 
  • Set up payment plans, monitor and make outbound calls to patients with broken promise to pay agreements
  • Ability to approach patient and discuss open, unpaid or overdue balances
  • Receive and process patient credit card payments, and allocate to appropriate visits on the account
  • Evaluate accounts for bad debt placement and wok with bad debt vendor on patient issues and concerns
  • Post appropriate discounts and adjustments to patient accounts
  • Interact with supporting departments; coding, cash-ops, AR follow up to resolve billing and payment issues
  • Interact with Practices to communicate and work cooperatively regarding patient billing issues
  • Maintain expected performance metrics
  • Other duties as assigned 

Required Knowledge & Skills: 

  • Knowledge of insurance rules/regulation and policies
  • Professional Working Revenue Cycle experience in either an AR follow up, Cash-Ops, denial management or self-pay role
  • Ability to bring tasks to completion in a manner satisfactory go all
  • Ability to communicate with others effectively in a concise manner, in order to bring issues effectively to a resolution 
  • Ability to identify billing trends affecting patient balances
  • Ability to evaluate situations and escalate issues appropriately
  • Ability to multitask, and ability to follow through with our patients and contacts
  • Ability to read, understand and interpret insurance Explanation of Benefits
  • Prior experience with Athena preferred
  • Experience with Excel, Word and Outlook required 
  • Organizational, time management skills
  • Ability to think globally about the patient experience 

The Planet Group of Companies is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Type: Temp/Contract

Location: Boston, Massachusetts