Patient Billing Representative

The Patient Billing Representative, Level 1 is responsible for the daily billing process to ensure payors receive accurate and timely claims. This role completes projects and resolves known issues while supporting the billing and collections workflow.

Key responsibilities include:

• Review admission documents and verify information in HMS matches admission forms.
• Process daily billing and ensure claims are billed within 24 hours of placement into the clearinghouse database.
• For commercial accounts, compare HMS data to insurance contract requirements for accuracy using contract tools at admission, discharge, and set intervals for in-house accounts.
• For Medicare accounts, bill Medicare Secondary Payor (MSP) accounts identified on the MSP spreadsheet and follow up until finalized.
• Resolve late charges according to policy.
• Verify by website and/or phone that the insurance company received the bill within 10 days of the billed date.
• Follow up weekly on billed accounts for 35 days post-bill date or until payment is issued, whichever comes first.
• Review billing reports and communicate identified issues to facility staff and management.
• Accurately document all activity completed in a patient account within HMS.
• Communicate with billing and collection staff about issues identified with insurance carriers.
• Support Select Medical's mission, core values, and direction within the CBO and throughout the organization.
• Perform additional duties and projects as assigned by the CBO management team.