Summary

The Customer Service Representative will serve as the primary point of contact for patients regarding their billing inquiries, insurance claims, payment plans, and account resolutions.

Responsibilities

• Answer inbound calls and respond to patient inquiries regarding billing statements, insurance claims, co-pays, deductibles, and payment options.
• Review and explain account balances, insurance explanations of benefits (EOBs), and billing procedures to patients in a clear and professional manner.
• Assist patients in setting up payment plans or resolving billing issues, including coordinating with insurance companies when necessary.
• Collaborate with medical billing and coding teams to ensure accurate and timely claim submission and resolution.
• Process payments over the phone and apply them accurately to patient accounts.
• Document all communications and actions taken with customer accounts.
• Escalate complex billing issues to supervisors or billing specialists when appropriate.
• Ensure compliance with HIPAA and other patient privacy laws.

The foregoing description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills, and efforts or work conditions associated with the position. It is intended to be an accurate reflection of the general nature and level of the job.

Requirements

Minimum Qualifications

· Certifications/Education

o High School Diploma/GED;

· Knowledge of:

o Read and explain: CPT, ICD-10 and medical billing terminology

o Read and explain: Insurance verification and explanation of benefits (EOBs)

· Experience:

o 1 year of customer service experience in a healthcare or medical billing environment

Work Environment

An individual must be able to perform each essential job function satisfactorily. Reasonable accommodations may be made to enable qualified individuals with a disability to perform the essential job functions. Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this position at any time.

RENO ORTHOPEDIC CENTER IS AN EQUAL OPPORTUNITY EMPLOYER