Patient Billing Representative

Overview

The Patient Billing Representative plays a key role in the patient care process by ensuring patients understand their medical care and financial responsibilities upon leaving the healthcare facility. This position requires delivering excellent customer service, managing billing efficiently, and supporting a smooth transition for patients continuing their treatment journey.

Responsibilities

• Manage the patient billing process including charge posting, payment posting, and executing adjustments as needed.
• Administer special patient financial programs.
• Respond to patient inquiries regarding their accounts, researching self-pay and insurance activity to provide accurate information and guidance.
• Conduct account audits to identify outstanding patient balances and attempt collections, documenting all efforts in the practice management system.
• Accurately post charges for assisted reproductive technology (ART) cycles and surgeries; create Scode claims.
• Verify and update insurance information.
• Audit end-of-month Scode reports.
• Create itemized receipts and process refund requests.
• Review electronic medical records (EMR) to ensure all services and diagnoses are properly coded.
• Review, correct, and submit billing claims to patients' insurance providers.
• Perform other duties as assigned.

Qualifications

• High School Diploma or GED required.
• Minimum of 1 year medical billing experience preferred.
• Experience in reproductive medicine or women’s health is preferred.
• Prior experience with Athena practice management software preferred.
• Ability to work weekends, evenings, and holidays on a rotating basis.

Location

This role supports patient billing within a healthcare setting focused on fertility and reproductive health services.