Patient Services Back Office Associate

Primary Functions:


* Address and resolve patient and provider billing inquiries related to services provided.


* Audit patient balances and escalate accounts requiring adjustments, following customer-specific guidelines.


* Update patient records, including home/billing address, contact details, and insurance information.


* Rebill claims as necessary while reviewing collection accounts.


* Generate and print patient statements while ensuring accuracy and completion.


* Process payments through client payment portals.


* Review and work on bad address/return mail reports, updating patient demographic information as required.


* Review collection reports and generate collection progression letters based on customer-specific processes.


* Prepare accounts for distribution to collection agencies as per defined protocols.


* Safeguard protected health information (PHI) and ensure compliance with HIPAA guidelines in all responsibilities.


* Crosstrain on various team tasks to ensure business continuity and provide backup support when needed.


* Support departmental and company goals and policies as a team player.


* Maintain good attendance and adhere to scheduled work hours, including timely returns from breaks and lunch.


* Escalate unresolved issues to the Patient Services Manager or Director as necessary.

Job Qualifications:

The qualifications we are looking for are mixture of work experience and educational background.

They are split into Minimum Qualifications (must have) and Additional Qualifications (nice to have) along with soft skills (competencies) needed for the role:

Minimum Qualifications:

1.

1 to 3 years of working experience into RCM OR Medical Billing.

2.

Working experience of reading EOB

3.

Understanding patient charts, updating bad addresses

4.

Working on small balance adjustments & running statements

5.

Working on different software systems

6.

AR Experience: researching claim problems and reading EOBs

Additional Qualifications:

1.

Math skills

2.

Working occasionally on auditing accounts

Soft Skills/Personality:

1.

Excellent Communication Skills (Written & Verbal)

2.

Working Independently.

3.

Critical Thinking

Expected Hours of Work: 6:30pm to 3:30am IST / 8am to 5pm CST