POSITION SUMMARY:

The Patient Billing Specialist is responsible for ensuring accurate and timely patient billing while delivering excellent customer service. This position involves regular communication with patients by phone, reviewing insurance Explanation of Benefits (EOBs), and supporting collection efforts to resolve outstanding balances. The ideal candidate will have a strong understanding of healthcare billing practices, excellent communication skills, and a proactive approach to problem-solving.

QUALIFICATIONS:

• High school diploma or equivalent required
• 1–2 years of experience in medical billing, patient financial services, or collections preferred
• Strong working knowledge of insurance EOBs, patient billing procedures, and healthcare reimbursement
• Experience with billing software and EHR systems
• Excellent verbal and written communication skills, with a patient-first approach
• Strong attention to detail and organizational skills
• Ability to handle sensitive financial conversations with professionalism and empathy
• Team-oriented with a positive attitude and willingness to learn

• Respond promptly and professionally to incoming calls from patients regarding billing questions, account balances, and payment options
• Place outgoing calls to patients to discuss outstanding balances, verify insurance information, and follow up on billing inquiries
• Review Explanation of Benefits (EOBs) from insurance payers to ensure accurate posting and billing to patients
• Identify and correct billing discrepancies or denials in coordination with the coding and insurance teams
• Process payments and set up payment plans when appropriate
• Support collection efforts by contacting patients with past-due accounts in a respectful and empathetic manner
• Document all patient interactions and account activity thoroughly and accurately in the billing system
• Maintain up-to-date knowledge of insurance guidelines, HIPAA regulations, and company billing policies
• Collaborate with team members to resolve patient concerns and improve the overall billing process