Patient Billing Representative - Chestnut Hill, MA, United States - SkinCare Physicians, Inc.

Description

Patient Billing Representative
*Full-time position; Join the leading experts in skin care as a dynamic Patient Billing Representative The Patient Billing Representative will gather charge information, maintain the insurance database, distribute insurance claims, and assist patients with insurance and self-pay billing problems. The Patient Billing Representative will process data and information to facilitate maximum and timely payments, in addition to facilitation of prior authorizations.
When asked what they love about their job, our Patient Billing Representatives couldn't pick just one thing; coworkers, their boss, helping people, and "having access to the best dermatologists and skin care products in Boston" all made the list Patient Billing Representative Qualifications
* associate or bachelor's degree in business preferred

• 3+ years' billing experience; hospitality, customer service, and/or administrative experience preferred
• Knowledge of billing software, billing and compliance policies, and third-party billing and claims/collection procedures

* ability to examine documents for accuracy and completeness

• Explore opportunities for learning and development through training programs and a variety of in-house committees
• Enjoy valuable and comprehensive benefits, 401(k) plan with profit sharing, tuition reimbursement, generous PTO and holidays, pet insurance, and free parking
• Responsible for clean claim submission
• Approve and transmit EDI claims; Research all information needed to complete billing process, including working directly with physicians, referral coordinator, and reception
• Audit and edit daily batches and data to produce clean claims; Research and follow up on accounts requiring additional documentation; manage receivable accounts
• Assist with coding and error resolution
• Manage patient inquiries regarding problematic accounts, both in person and via phone
• Pre-authorize surgeries, medications, and other procedures with third party payers as necessary
• Collect prior authorization requests initiated by physicians
• Initiate prior authorization request to patient's insurance carrier; Initiate letters of medical necessity from physicians
• Maintain current knowledge of SCP policies and procedures, as well as updated ICD-10 and CPT-4 coding and billing compliance knowledge
• Follow HIPAA policies for patient privacy and has access to Level 2,3,4 PHI; comply with OSHA and AAHC policies and procedures

*SkinCare Physicians is a comprehensive, state-of-the-art center for dermatology, cosmetic and laser procedures, dermatologic and skin cancer surgery, and medical aesthetics. Our commitment to excellence, along with the credentials and experience of our skilled physicians and support staff, are what make SkinCare Physicians one of the premier dermatology facilities in greater Boston – and the world.

At SkinCare Physicians we believe that it is through the efforts of our employees that we have become a leader in the field of medical and cosmetic dermatology.

Our state of the art and world-renowned practice is always looking for people who are committed to supporting our mission of providing the best possible personalized service to our patients along with ethical, skilled, and comprehensive care.

Our expectation is that all employees will support SkinCare Physicians' mission, vision, and values by exhibiting the following behavior:

excellence and competence, collaboration, teamwork and team building, innovation, respect, personalization, commitment to our patients, and accountability and ownership.

_SkinCare Physicians is an equal opportunity employer, dedicated to building an inclusive and diverse workforce._

#Job Type:
Full-time

00 per hour
Dental insurance

• Health insurance
• Tuition reimbursement

Application Question(s):

• Are you, or are you willing to be, fully vaccinated against COVID-19 per CDC guidelines?

Ability to Relocate:

• Relocate before starting work (Required)