Careers

Tryon Medical Partners is seeking a Billing Customer Service Representative to join our team full-time, Monday-Friday 8:00AM-5:00PM.

Job Summary: A Billing Customer Service Representative will be deal directly with patient inquiries and complaints as well as issues as reported via phone or customer service calls and correspondence regarding billing. Position will also oversee collection of timely documentation from network providers and patients to ensure adherence to quality standards.

Primary Job Responsibilities/Tasks may include, but not limited to:  

1. Serves as the first point of response to delivery system access and billing related telephone calls and messages.  Ensures resolution of each patient’s concerns by directly addressing the issues or, if needed, escalating the issue to a point of resolution in an efficient, friendly, courteous, tactful, calm and helpful manner.
2. Responding to patient general inquiries, information updates and billing questions while resolving problems and concerns.
3. Update patient demographics and insurance information as needed.
4. Upon obtaining information to facilitate claim payment, enter necessary insurance data and refile claims with insurance companies.
5. Review patient accounts to determine why there is an outstanding balance and effectively explain the details.
6. Process payments over the phone from patients.
7. Negotiate payment arrangements with patients.
8. Explain insurance company's explanation of benefits (EOB).
9. Possess excellent customer service skills and have the ability to communicate effectively both written and verbally ensuring that the customer is well informed.
10. Follow up with insurance companies on any patient concerns regarding outstanding patient responsibility and/or claim submission as needed.
11. Analyze data and insurance benefit information to properly apply patient refund requests.
12. Monitor EMR workflow dashboard as delegated by RCM Manager and work with Billing Office team to resolve missing slips.
13. Collection of patient responsibility due and setting up patient payment plans as needed.
14. Serve as liaison to physician office team for insurance/billing concerns, prior authorizations, and payer coverage.
15. Position descriptions are not intended to be and should not be constructed to be a complete list of all the duties and responsibilities performed. Duties, responsibilities and expectations may be added, deleted or modified at any time at the discretion of the RCM Manager.

Requirements:

Education and Certifications

1. High School Diploma required.

Experience:

1. Knowledge of medical terminology, ICD-9/ICD-10 and CPT codes.
2. Minimum of two years of physician office health care billing experience.
3. Excellent verbal communication skills to interact with patients, physicians, visitors and staff.
4. Excellent computer skills; familiarity with Microsoft Word & Excel.
5. Ability to manage time and organize daily schedule to meet productivity and accuracy standards.
6. Experience with Athena Health EMR preferred.

Physical Requirements

1. Work consistently requires walking, standing, sitting, lifting, reaching, stooping, bending, pushing, and pulling.
2. Must be able to lift and support weight of 35 pounds
3. Ability to concentrate on details.
4. Use of computer for long periods of time.