Customer Service & Patient Collections Associate

· Respond to a high volume of patient inquiries via phone, mail, and electronic messaging regarding a wide range of billing and account-related issues.

· Research and resolve patient billing inquiries by working with insurance companies, third-party payers, and other external contacts. Communicate findings accurately and promptly to patients and guarantors.

· Collect outstanding balances and update patient demographic and insurance information during patient interactions.

· Verify insurance eligibility using payer websites, available technologies, and direct communication with insurance companies.

· Understand and apply hospital and professional billing practices, including:

o Reading and interpreting Explanation of Benefits (EOBs)

o Billing commercial and government payers

o Resolving claim denials

o Assisting patients with coordination of benefits (COB) and other insurance-related issues

· Respond to complex patient and guarantor concerns, including:

o Payer denials

o Coding questions

o Secondary billing

o Coordination of benefits

o Verification of copays, coinsurance, and deductibles