This is a remote position.
Night Shift Schedule:
Monday to Thursday - 8:45am to 5pm New York Time (8:45pm - 5am Manila Time)
Friday - 8:45am to 3:45pm New York Time (8:45pm - 3:45am Manila Time)
Description:
The Patient Billing Representative supports the revenue cycle by working directly with patients to collect outstanding balances resulting from insurance cost-sharing and out-of-network payments issued to members. This role focuses on generating patient invoices, patient outreach, payment plan setup, prompt-pay follow-up, and clear documentation, following approved billing processes, scripts, and policies.
Responsibilities:
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Generate and issue patient invoices following insurance adjudication and balance determination
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Communicate with patients regarding outstanding balances after insurance adjudication
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Set up and manage payment plans in accordance with company policy
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Collect one-time and recurring patient payments
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Follow up on missed, late, or partial payments
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Track OONW claims where payment is sent directly to the member
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Contact patients to collect insurance payments received directly
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Educate patients on their responsibility to remit payments
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Follow up until full balance is resolved
Desired Results:
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Patient balances are collected accurately and timely
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Payment plans are set up appropriately and adhered to
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Patient invoices are issued accurately and on time
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Prompt-pay balances are followed up and resolved without delay
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Out-of-network member payments are consistently collected
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Clear, complete, and review-ready account documentation
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Minimal repeated errors or missed follow-ups
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Early escalation of complex or sensitive cases
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Reduced patient A/R and improved cash flow
We hire/fire/promote based on these core values + job-specific performance.
1. Respectful of our unique cultural environment
2. Absolute confidentiality
3. Embracing teamwork
4. Loyal behavior and positive attitude
5. Accountability
6. Pro activeness
7. Thoroughness
8. Focused on results
9. Inspired to learn and grow constantly
10. Devoted to providing top-tier services to our clients through the company's "Unique Service Oriented Philosophies"
