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Patient Services Representative - NBGW ENT (Full Time, Day)
NorthBay Healthcare Corporation
Fairfield, USA
Full-time
Junior · 2+ years experience
Onsite
Discovered Today
Full Job Posting
Qualifications
- Education: High School graduate preferred. Associate Degree or Bachelor’s Degree preferred.
- Experience: Minimum of two year’s of experience in a medical front office setting with experience and knowledge of health insurance/ benefit requirements required. Two years’ experience working with medical insurance plans. Two more years’ experience working with referrals/consult processes in the ambulatory care setting.
- Skills: Excellent customer service skills, and comprehensive knowledge & understanding of workflow and processes in the revenue cycle environment. Excellent analytical and project management skills. Ability to work on multiple projects simultaneously and manage deadlines. Must possess good organizational skills, work independently, and prioritize multiple projects and objectives in a rapidly changing environment. Ability to communicate clearly and effectively, relate cordially with co-workers, members, providers and others. Download and save reports in Excel, and sort reports by name, date or in descending dollar order, when taking calls from patients, providers or payers, the representative needs the ability to determine the necessary action to take, such as the appropriate questions to ask, or determining the research necessary to answer questions. Knowledge of medical terminology, CPT, ICD-10-CM, and Revenue Codes, Medicare guidelines and regulations, billing and follow-up practices, billing requirements for all payer types, managed care terminology (capitation, PPO, stop loss, etc.), Cerner, Microsoft Outlook, Word, and Excel.
- Standards of Performance: Demonstrate performance by adhering to established policies and procedures and exhibiting the defined characteristics associated with attendance and punctuality.
- Physical Effort: Attendance is an essential function of the job. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Minimal: Requires prolonged hours of standing and sitting and some walking. Requires extensive use of telephone and computer keyboard. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Hours of Work: Based on business need.
- Minimum of two year’s of experience in a medical front office setting with experience and knowledge of health insurance/ benefit requirements required. Two years’ experience working with medical insurance plans. Two more years’ experience working with referrals/consult processes in the ambulatory care setting.
- Excellent customer service skills, and comprehensive knowledge & understanding of workflow and processes in the revenue cycle environment. Excellent analytical and project management skills. Ability to work on multiple projects simultaneously and manage deadlines. Must possess good organizational skills, work independently, and prioritize multiple projects and objectives in a rapidly changing environment. Ability to communicate clearly and effectively, relate cordially with co-workers, members, providers and others. Download and save reports in Excel, and sort reports by name, date or in descending dollar order, when taking calls from patients, providers or payers, the representative needs the ability to determine the necessary action to take, such as the appropriate questions to ask, or determining the research necessary to answer questions. Knowledge of medical terminology, CPT, ICD-10-CM, and Revenue Codes, Medicare guidelines and regulations, billing and follow-up practices, billing requirements for all payer types, managed care terminology (capitation, PPO, stop loss, etc.), Cerner, Microsoft Outlook, Word, and Excel.
Preferred Qualifications
- Education: High School graduate preferred. Associate Degree or Bachelor’s Degree preferred.
About NorthBay Healthcare Corporation
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