Customer Service & Billing Officer

The Customer Service and Billing Officer is responsible for carrying out all billing and collection functions. The Customer Service & Billing Officer will be responsible for maintaining detailed financial records to aid in the reporting and decision-making process.

Requirements:

•  The ideal candidate must possess a bachelor’s degree in Business Administration, Accounting or Health Care  Administration
• At least three (3) years’ working experience in a similar position
• Proficient in the use of Microsoft Suite (Excel) and Accountng softwares such as QuickBooks
• Customer Service Training or prior work experience
• Must be able to work flexible hours

Key Duties and Responsibilities:

• Checking eligibility and benefits verification for treatments, hospitalizations, and procedures
• Obtaining referrals and pre-authorizations as required for procedures
• Reviewing patient bills for accuracy and completeness, and obtaining any missing information
• Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing
• Following up on unpaid claims within a standard billing timeframe
• Checking each insured payment for accuracy and compliance with contract discount
• Calling insurance companies regarding any discrepancy in payments if necessary
• Identifying and billing secondary or tertiary insurances
• Reviewing accounts for insurance of patient follow-up
• Researching and appealing denied claims
• Answering all patient or insurance telephone inquiries pertaining to assigned accounts.
• Setting up patient payment plans and work collection accounts.
• Updating billing software with rate changes
• Updating cash spreadsheets, and running collection reports
• Answer and respond to telephone calls and escalating matters as needed
• Perform other duties as assigned

To be successful in this role, the ideal candidate;

• Must be able to multi-task and manage time well
• Must be confidential and act with professionalism and tact in all situations
• Must have a good grasp of accounting principles and concepts
• Must be detailed and result oriented
• Must have outstanding communication and organizational skills
• Must be team-oriented and flexible
• Must have a calm and pleasant demeanor 
• Must be able to conduct research and have a drive to find creative solutions to problem-solving