Job Description

SBO Billing Specialist

The SBO Billing Specialist is responsible for providing customer service and financial counseling for patient due balances (including Hospital and Physician billing services). This includes accepting inbound calls in order to address patient inquiries and making outbound calls to resolve patient balances.

Essential Duties and Responsibilities:

• Provides primary customer service for patient questions on patient responsible portions such as: coinsurance, copays, and deductibles. This will also include explanation of contractual adjustments and discounts. Resolves patient complaints or explains why certain services are not covered by insurance.
• Calls guarantors regarding past due balances and process patient payment using secured devices. Provides patients with payment options including monthly payment plan (within policy) and bank loan financing. Uses secured banking portal to process these loan amounts.
• Explains insurance-related coverage and payment information in order to resolve patient inquiries. This will be for both Hospital and Physician services.
• Screens guarantors and households for financial assistance. Reviews and processes financial assistance applications on patients seeking assistance with outstanding patient portion balances (deductibles, copays, coinsurance and non-covered balances).
• Follows HIPAA guidelines in handling patient information.
• Distinguishes billing complaints from patient care complaints and resolves billing-related issues. Forwards any complaints regarding patient care issues to Guest Relations.
• Reconciles business banking and credit card accounts.

Education:

• High school diploma or equivalent required. Additional training in healthcare billing or customer service preferred.

Work Experience:

• Medical Billing experience highly preferred. Proficiency in Microsoft Office. Experience in billing software and electronic data submission preferred.

Certification/License:

• Certification/License

Mental/Physical Requirements:

• Ability to receive and express detailed information through oral communications, visual acuity, and the ability to read and understand written directions. Normal mental concentration with repetitive operations for a long period of time. Ability to stand, walk, sit, and reach. Occasionally lifts and transports items weighing up to ten (10) pounds.

Working Conditions:

• Standard office conditions with more than average noise. Periodic contact with conditions such as fumes, noise, chemicals, hazards, and/or diseases.

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