Patient Financial Services Representative - Medical Billing - Saratoga Hospital Medical Group : Job Details

The Patient Financial Services Representative (PFS) is responsible for billing primary, as well as subsequent secondary and tertiary claims, to all third party insurance carriers listed on a patient account, utilizing multiple systems to ensure a clean claim is received and processed for payment. The position is also responsible for follow up on third party receivables. Position provides telephone customer service to assist patients with their insurance questions and accept payment for services billed. Primary Job Duties: Claims Processing and Issues Resolution: Retrieve and transmit electronic (837) claim files to all assigned payers as assigned. Submission of a paper claim form to all assigned insurance carriers. Submit with all appropriate documents/attachments as assigned. Resolve all claim issues to ensure a clean claim has been received and accepted by the assigned payer. Information Systems and Reporting: Effectively utilizes various assigned systems to submit and/or resolve cla...Medical Billing, Patient, Representative, Financial, Customer Service, Billing, Healthcare