Patient Billing Representative

The Patient Billing Coordinator serves as a subject matter expert and lead resource for patient billing inquires, escalations and issue resolution. This role ensures a positive patient experience while maintaining compliance with billing policies.

JOB RESPONSIBILITIES

ESSENTIAL FUNCTIONS:

• Research complex or escalated patient billing inquiries and partner with internal and external resources to resolve.
• Monitor and research Better Business Bureau inquiries and collaborate with management on response.
• Audit and review patient billing process for accuracy and completeness.
• Communicate patient inquiry trends or issues to management and recommend process improvements.
• Support the department in meeting performance goals for call handling, patient satisfaction, and resolution time.
• Monitor and triage patient billing inquiries via email or tracking system to ensure timely and accurate resolution.
• Provide courteous and professional customer service to patients and all internal and external departments.
• Performs other related duties or special projects as assigned.

NON-ESSENTIAL FUNCTIONS:

• Work with other departments within PathGroup and subsidiaries.
• Nothing in the job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time.
• Other duties as assigned.

EDUCATION & LICENSURE:

• High School Diploma or GED is required.

Qualifications:

• 5+ years of customer service and billing experience, preferably in a healthcare or laboratory setting.
• Understanding of Explanation of Benefits and patient billing workflows.
• Strong understanding of insurance claim processing to be able to resolve patient billing inquiries.
• Excellent oral and written communication skills.
• Problem-solving skills to research and provide resolution.
• Knowledge of HIPAA compliance.
• Proficiency with billing software and MS Office.
• Ability to work independently and collaboratively.