Billing Representative-Lab FT, Day at Prisma Health

, South Carolina, United States -

Full Time

Start Date

Immediate

Expiry Date

19 Dec, 25

Salary

0.0

Posted On

20 Sep, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Microsoft Office, ICD9 Coding, CPT Coding, HCPCS Coding, Analytical Thinking, Communication, Customer Service, Billing Knowledge, Regulatory Knowledge, Problem Solving, Research Skills, Documentation, Claims Processing, Accounts Receivable, Insurance Knowledge, Refund Processing

Industry

Hospitals and Health Care

Description

Inspire health. Serve with compassion. Be the difference. Job Summary This job has responsibility for timely filing, follow up, collections, credit balances, posting, and/or customer service of patient accounts for respective areas of control. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. Prepares and files appropriate claims and patient statements. Edits and corrects failed claims. Monitors claims for appropriate billing. Communicates problems. Receives and answers patient telephone and written inquiries regarding charges and/or billing discrepancies. Greets and assists customers. Explains account payment and settlement processes. Documents all customer telephone calls and billing information Contacts insurance carriers and/or patients as necessary. Identifies problem accounts, research and work to resolution. Provides duplicate billings, coordination of benefits and medical records to expedite payment of insurance claims. Research accounts daily for credit balances and process refunds. Respond to correspondence. Document all billing notes and patient telephone calls. Work and prepare reports necessary to maintain acceptable levels of accounts receivables. Work CRS and A/R reports; Research accounts and clean up claims. Obtains third-party payments and document payments and denials carefully. Provides follow up on issues Performs other duties as assigned. Supervisory/Management Responsibility This is a non-management job that will report to a supervisor, manager, director, or executive. Minimum Requirements Education - High school diploma, GED or equivalent preferred Experience - Six (6) months experience in healthcare environment. Billing experience preferred In Lieu Of NA Required Certifications, Registrations, Licenses NA Knowledge, Skills and Abilities Proficient in Microsoft Office. Knowledge of ICD9, CPT and HCPCS coding. Able to think analytically and communicate well with others. Excellent customer services skills Knowledge of institutional & departmental policies, third party payer regulations and regulatory billing requirements and processes. Work Shift Day (United States of America) Location Richland Facility 1510 Richland Hospital Department 15507010 Laboratory Administration Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

Responsibilities

The Billing Representative is responsible for timely filing, follow-up, collections, credit balances, posting, and customer service of patient accounts. This role includes preparing and filing claims, answering patient inquiries, and resolving billing discrepancies.