ABOUT US

At Elite Medical Transport, we are more than just an emergency and non-emergency medical transportation provider, we are a team driven by compassion, professionalism, and excellence. Every ride we provide reflects our mission of serving our community with the highest level of care. To support our operations, we are seeking a Pre-Biller / Patient Financial Services Representative to join our growing Patient Financial Services team.

POSITION SUMMARY

The Pre-Biller / Patient Financial Services Representative plays a key role in ensuring accurate and timely billing for patient care services. This role reviews medical documentation, verifies insurance coverage, and prepares claims to ensure Elite Medical Transport receives proper reimbursement. This position requires attention to detail, strong organizational skills, and the ability to provide excellent customer service to patients, providers, and internal teams.

• Reviews, generates, and processes patient encounters for Patient Financial Services department.
• Reviews the patient care report (PCR) for clarity of patient demographics, billing information, supporting documentation, and information surrounding the patient encounter prior to charging and coding the encounter for billing.
• Retrieves hospital face sheets to obtain health insurance information
• Investigates and makes every attempt to discover and verifies health insurance coverage through all available portals and other resources
• Determines primary, secondary, and/or tertiary insurance sequences based on insurance coverage per patient.
• Assesses incoming ancillary records (signature forms, Physician Certification Statements, etc) and determines if they meet regulatory requirements and company policy
• Determines appropriate HCPC and ICD 10 codes based on the medical data and narrative furnished in ePCR (electronic Patient Care Report) and if additional medical information of ePCR is needed to bill accordingly.
• Prepares paper claims and invoices and ensures claims are appropriately mailed, including any supplemental records.
• Prepares and transmits electronic claims and reviews transmission reports for accepted and rejected claims.
• Provides customer service to patients in person and/or by telephone and resolves the reason for visit or call.
• Receives and posts payments in person or over the phone.
• Reviews incoming correspondence and distributes accordingly.
• Imports and posts all electronic payments; posts paper and credit card payments daily and reconciles posted payments to deposit records.
• Manages patient care and accounts receivable files, both paper and electronic.
• Reviews denied claims to determine next steps; appeals denied claims as needed, moving accounts through the revenue cycle process to next appropriate payor
• Documents decisions and discussions in the PFS computer program recording changes in customer status and any collection efforts.
• Responds to inquiries from customers and contractors to assist in the claim payment process, billing, or movement of schedules.
• Work as a team member with all other company employees in a collaborative, constructive manner.
• Billing & Customer Service Specialist - Continued
• Provide timely and accurate reports for management as requested
• Operates business office machines such as copy machine fax machine, postage machine and computer, adding machine, calculator, and stapler.
• Other duties as assigned.