Job Summary

The Patient Services Representative, Collections Lead will be responsible for leading, supporting, and training for the timely and accurate collections of account receivables for all insurances and third-party billers along with partnering with the prior authorization and billing departments to maximize company revenue.

General Accountabilities

• Help train new hires on process and procedures within the department.
• Maintain training tools and develop new training tools as needed.
• Observe and advise manager on department team members’ strengths and weaknesses to facilitate ideal productivity and efficiency.

• Compiling claims appeals and reconsideration requests as necessary.
• Regular collections follow up on unpaid claims to maximize cash flow.
• Recognize, flag, and resolve payor issues as they arise.
• Assists in reviewing claims for accuracy before submission.
• Demonstrate an understanding of patient confidentiality to protect the patient and corporation.
• Assists and communicates with all departments to help increase efficiency and accuracy.
• Responds in a timely manner to all inquiries from customers, sales reps, and co-workers.
• Perform technical and customer support, as needed. 
• Performs all necessary administration tasks when necessary.
• Future cross-training in authorizations and billing.
• Perform other duties as assigned.

• Answering and appropriately routing all incoming company calls.
• Recording and relaying phone messages to appropriate parties.

• Maintain accurate data and in third-party billing and in-house ERP systems.

Job Qualifications

• High School diploma or equivalent required, Bachelors in related field preferred.
• Position requires at least 3 years of medical office/provider/billing/collections work experience with insurance procedures.
• Must have excellent communication skills, written and verbal. Proficiency with computer, internet and Microsoft Office (Outlook, Word, and Excel). Experience with multiple payor portals a plus.
• Problem Solving - Identifies and resolves problems time efficiently; Gathers and analyzes information; Develops solutions; Uses reason. 

Physical Demands

• Occasionally required to sit.
• Occasionally required to walk.
• Occasionally required to use hands to finger, handle, or feel.
• Occasionally required to reach with hands and arms.
• Occasionally required to talk or hear.
• Occasionally required to bend, lift or climb.
• Occasionally required to lift light weights (less than 25 pounds).
• Occasionally required to lift moderate weights (25-50 pounds).
• Finger dexterity required.
• Hand coordination required.

Work Environment

• Possible risk of electrical shock.
• The noise level in the work environment usually is speaking level.

JOB CODE: 1000010