Description The Medical Billing Representative is crucial in managing patient communications related to billing and insurance queries. This role involves efficiently handling both inbound and outbound calls, providing accurate self-pay price quotes and estimates, and promptly resolving patient inquiries through informed decisions and coordinated efforts. Building on the foundational responsibilities of the Patient Advocate I’s position; this role requires advanced skillsets to deliver enhanced service and support to our patients. This position sits in our corporate office in Melville, New York. Inbound and Outbound Communication • Efficiently manage inbound and outbound calls, ensuring high-quality service and responsiveness to patient needs. Issue Analysis and Resolution • Analyze Explanation of Benefits (EOB) documents to understand and resolve billing issues. • Utilize critical thinking and problem-solving skills to address and resolve patient inquiries quickly. • Effective Communication: Provide clear explanations to patients regarding their insurance claims and coverage. Identify and escalate complex issues to the correct department for timely resolution. Financial Reviews and Adjustments • Self Pay Credit Balance Review: Ensure accounts have been reviewed and worked on for outstanding balances. • Adjustment posting: Post adjustments after accounts have been reviewed and deemed necessary. • Collection Review: Remove accounts from collections upon review. • Collection Agency Reports: Review reports daily. • Bankruptcy Reviews: Conduct reviews of accounts to ensure the final financial status of bankruptcy is valid. • Price Quotes and Estimates: Deliver accurate and prompt self-pay price quotes and financial estimates to patients, enabling them to make informed decisions regarding their care. Workqueue Reviews • Bad Address Review: Review statement edits in Self Pay Open Workqueue in Athena to ensure accounts have been appropriately worked in conjunction with the billing cycle. • Correspondence Open Task Workqueue: Review accounts in Athena to ensure proper assignment and follow-up. • Self Pay Open Workqueue: Review statement edits, debit statement balance, credit account balance, and invalid statement totals. • Hold Bill/Alert Open Workqueue: Review accounts that need to be worked due to incomplete registrations. Pay and Benefits The pay range for this position is $20.00 - $22.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision• Critical Illness, Accident, and Hospital• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available• Life Insurance (Voluntary Life & AD&D for the employee and dependents)• Short and long-term disability• Health Spending Account (HSA)• Transportation benefits• Employee Assistance Program• Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully onsite position in Melville,NY. Application Deadline This position is anticipated to close on Feb 17, 2025. About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.