Billing and Reimbursement Customer Service Representative

Clarity Clinic is an interdisciplinary private practice focused on holistic mental wellness. They are seeking a Customer Service Representative for their Billing and Reimbursement department to manage patient interactions and assist with billing inquiries.

Responsibilities:

• Ensure that patients are treated with the highest level of confidentiality and professionalism
• Maintain incoming patient calls and responding to voicemails promptly, courteously, and professionally while de-escalating situations involving dissatisfied customers by offering assistance and support
• Assists billing staff with basic office duties (i.e., pulling notes, EOBs, payment receipts etc..) as needed
• Manage the patient billing emails and portal messages with prompt resolution in a courteous and professional manner
• Support as Liaison between billing and operations, offering support as it relates to billing and patient balance inquiries
• Responsible for Self-Pay AR and management of accounts with credit cards on file
• Collects patient payments and assists in posting payments as it relates to our collection processes
• Responsible for reviewing, identifying, and sending qualified accounts to collections
• Identify patient and insurance credits/refunds
• Create and manage patient payment plans
• Manage and run weekly statement files
• Responsible for return mail
• Handle mailing secondary claims to insurance companies, attaching copies of primary EOB
• Handle mailing collection letters to both insurance and patient as instructed by collection staff
• Work various tasks assigned as needed
• Maintain the strictest confidentiality according to the guidelines of company policies
• Stay abreast of and comply with all state and federal laws including HIPAA, ADA, OSHA, and FLSA
• Attend meetings as required
• Participate in development and training activities as required by management
• Adapt to change in positive and professional manner

Requirements:

• Ensure that patients are treated with the highest level of confidentiality and professionalism
• Maintain incoming patient calls and responding to voicemails promptly, courteously, and professionally while de-escalating situations involving dissatisfied customers by offering assistance and support
• Assists billing staff with basic office duties (i.e., pulling notes, EOBs, payment receipts etc..) as needed
• Manage the patient billing emails and portal messages with prompt resolution in a courteous and professional manner
• Support as Liaison between billing and operations, offering support as it relates to billing and patient balance inquiries
• Responsible for Self-Pay AR and management of accounts with credit cards on file
• Collects patient payments and assists in posting payments as it relates to our collection processes
• Responsible for reviewing, identifying, and sending qualified accounts to collections
• Identify patient and insurance credits/refunds
• Create and manage patient payment plans
• Manage and run weekly statement files
• Responsible for return mail
• Handle mailing secondary claims to insurance companies, attaching copies of primary EOB
• Handle mailing collection letters to both insurance and patient as instructed by collection staff
• Work various tasks assigned as needed
• Maintain the strictest confidentiality according to the guidelines of company policies
• Stay abreast of and comply with all state and federal laws including HIPAA, ADA, OSHA, and FLSA
• Attend meetings as required
• Participate in development and training activities as required by management
• Adapt to change in positive and professional manner
• BS/BA degree preferred or two years of medical billing and customer service experience is preferred
• Bilingual is a plus