Patient Services Representative - Hybrid - Pathology Billing Services

The Patient Services Representative provides high level customer service and collection activity support to Pathology Billing Services, LLC, to enhance the liquidation of the accounts receivables.  All employees are responsible for supporting the company’s goals and mission, by following all company policies and procedures. 

1. Provide high level customer service to patients and other clientele through incoming calls.
2. Collect payments and assist the patients with establishing payment plans.
3. Screen incoming calls using standard HIPAA protocol.
4. Act as coordinator for resolving outstanding receivables on whole or partial balance accounts.
5. Maintain updated knowledge of the group’s contractual agreements and report any discrepancies in payors reimbursement patterns to the Billing Supervisor, in writing.
6. Monitor payment activity and contractual adjustments posted to patient accounts.  Initiate corrections, if posting of inaccurate transactions are determined.
7. Follow-up with payors regarding reimbursement claims in the following interval and status or as defined by management:

1. Written Correspondence: Claims that have received denials for erroneous reasons and claims that require additional documentation; follow-up initiated and completed within 2 business days or receipt of notification.
2. Working all Ques in the online Billing Module in accordance with the written PBS, LLC policy and procedures.

1. Initiate the process of filtering unpaid patient balanced accounts for outside agency.  Completing thorough and accurate assessment that there is not a responsible third party, patient has been properly notified and efforts to locate payment have been exhausted. 
2. Assist and resolve all patient inquires through incoming calls.
3. Maintain minimum average of 1675 patient accounts for most receivable.

1. Assist with billing duties as needed.
2. Meet assigned deadlines and communicate status with management.
3. Assist with mailing of claims and correspondence as needed.
4. Complete status reports daily or as instructed.
5. Assist with special projects as needed.
6. Notify billing manager of any inconsistencies, changes or errors with payor activity. 
7. All other duties as assigned.

• One to Five years of advanced billing support experience in a corporate setting. 
• Knowledge of business software including word processing, spreadsheets and application presentations. 
• Ability to read and communicate information provided on Explanation of Benefits.
• Exceptional verbal and written communication skills to be utilized in interfacing with all levels of management. 
• Excellent organizational skills and ability to manage multiple and diverse priorities simultaneously, meeting deadlines as required. 
• Ability to handle highly confidential information. 
• Ability to exercise independent judgment. 
• Knowledge of standard office equipment. 
• Ability to lift a minimum of 35 pounds and sit for long periods of time.

The work environment characteristics described here are representative of those and employee encounters while performing the duties of this job. Pathology Billing Services provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, and gender identity. PBS complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This applies to all terms and conditions of employment including, recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leave of absence, compensation, and training.

Benefits:

Pathology Billing Services, LLC, offers nationally competitive compensation and benefits. Our benefits program provides a comprehensive array of services to our employees including, but not limited to health insurance (Primarily covered by the company), dental insurance (100% covered by the company) vision insurance, paid time off, retirement contributions (401k), & flexible spending account (FSA).

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