Patient Billing Representative

The Patient Billing Representative plays an integral part of the patient care journey, ensuring patients leave the healthcare facility with a clear understanding of their medical care and financial responsibilities. This role involves providing exceptional customer service, managing the billing process efficiently, and facilitating a smooth transition for patients as they continue their treatment journey with CCRM Fertility

The Patient Billing Representative is responsible for managing the patient billing process, ensuring accurate billing, collecting payments, providing necessary instructions, and facilitating a seamless transition for patients billing. This role serves as a point of contact for patients, addressing inquiries and providing exceptional customer, and assisting inter-company customers with questions regarding insurance matters, current account status, and billing questions. The Patient Billing Representative reports to the RCM Supervisor.

• Complete patient billing procedures including charge posting, payment posting, executing adjustments as appropriate, and special patient financial programs.
• Respond to patient questions regarding their account; research self-pay and insurance account activity to provide accurate responses and required actions.
• Conduct account audits, review and identify outstanding patient balances; attempt to collect and ensure all efforts are recorded in practice management system.
• Accurately post charges for ART cycles and surgeries. Creates Scode claims
• Verifies or updates insurance information.
• Audit end of month scode reports.
• Creates itemized receipts
• Processes refunds request.
• Review EMR to ensure all services rendered and diagnoses are properly coded properly.
• Review, correct, and submit billing claims to the patient’s insurance provider.
• Other duties as assigned.

• High School Diploma or GED required.
• 1+ year medical billing experience preferred.
• Previous experience in reproductive medicine or Women’s health preferred.
• Prior experience with Athena preferred.
• Ability to work weekends, evenings, and holidays, on a rotating basis.