Offer summary

Qualifications:

1 to 3 years of experience in Revenue Cycle Management or Medical Billing., Proficiency in reading Explanation of Benefits (EOB) and understanding patient charts., Experience working with various software systems and handling small balance adjustments., Good communication skills and ability to work independently..

Key responsibilities:

Manage medical billing, claim follow-ups, and collections to ensure timely reimbursements.

Address and resolve patient and provider billing inquiries and update patient records.

Rebill claims, generate patient statements, and process payments accurately.

Support team tasks and escalate unresolved issues to management.

Job description

Business Unit:
With decades of experience in medical billing, practice management, and revenue cycle management, PracticeMax has a proven track record of delivering tailored solutions that optimize efficiency and boost revenue. Our team of industry experts at PracticeMax is dedicated to ensuring client success by providing personalized support and guidance throughout the optimization process.

Job Summary:

The Patient Services Back Office Associate is responsible for delivering excellent customer service while managing medical billing, claim follow-ups, and collections to ensure timely reimbursements. The role involves working with multiple practice management systems, with product and workflow training provided.

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.

Work Mode: Remote

Shift Timings: 6:30pm to 3:30am IST
Location: Remote

What We Are Looking For:

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

What Would Make You Stand Out:

1. Math skills

2. Working occasionally on auditing accounts