Hospital Insurance Collections Rep.-Full-time

Job description

Description Provide billing investigation, follow up related to patient/customer complaints and advocacy for patients related to complaints or billing issues. Ensure proper submission and adjudication on all claims submitted to third party carriers, Medicaid, Medicare. Respond to all inquiries according to PFS policy and procedures. ESSENTIAL DUTIES AND RESPONSIBILITIES MAY INCLUDE: 1. Advocate for patients regarding complaints or billing issues, while following established policies and procedures, by responding to patient calls/inquiries, reviewing information provided by patient, and asking pertinent follow-up questions to obtain missing information. 2. Provide account resolution, within HFMA Patient Friendly requirement (i.e., 48 hours), by assessing the service provided, reviewing the billing system for errors and/or various 3rd party payers’ contracts for terms that will assist in answering/resolving the patient’s issue. Provide the patient with explanation or address any errors found. Document all activity on patient accounts (i.e., conversations, actions taken, follow-up needed) in the system, according to industry standards. 3. Identify any issues, such as a breakdown in th...