Patient Financial Services Billing Specialist

The CBO Representative is responsible for accurate and timely billing and follow-up of all claims to ensure prompt payment from all payers. This role supports patient account communication and research across departments to resolve billing issues and maintain efficient revenue cycle operations.

Schedule

• Full time
• 8:00 AM–4:30 PM, Monday–Friday

Key Responsibilities

• Run daily reports to prepare billing follow-up for patient accounts with Medicare, Medicaid, Blue Cross, commercial, and other third-party payers.
• Make outgoing and receive incoming calls to answer questions from patients, insurance companies, and other parties regarding claim status and billing.
• Ensure accurate and timely follow-up with insurance companies according to established policies and procedures.
• Review patient account information from admissions and outpatient registration to identify missing information and determine next steps for follow-up.
• Respond to billing questions and provide clarification to customers.
• Maintain communication with insurance payers, outside agencies, and internal departments.
• Refer non-routine issues to management for clarification.
• Prepare and update correspondence to customers and insurance payers as needed.
• Process and scan EOBs and correspondence within 2 business days.
• Re-bill and reprocess denials and rejections to resolve issues with insurance payers.
• Take incoming calls from patients regarding insurance and billing.
• Process walk-ins.
• Resolve credit balance reports monthly.
• Work the denial program daily.
• Perform other duties assigned by the Director of Patient Financial Services or Executive Director of Revenue Cycle.

Work Environment

• Office-based role with interruptions and occasional stress due to workflow demands.
• No exposure to blood, body fluids, or tissue.