Billing Customer Service Representative

Wyandot Memorial Hospital is a community-focused healthcare provider dedicated to delivering compassionate care. They are seeking a Billing Customer Service Representative to assist patients with billing inquiries, manage claims, and ensure compliance with healthcare regulations.

Responsibilities:

• Respond to patient billing inquiries by phone, email, chat, and in person
• Explain billing statements, insurance information, payment options, and hospital billing policies
• Resolve billing concerns with professionalism and escalate complex issues as appropriate
• Process claims, manage denials, and prepare appeals for reimbursement
• Ensure compliance with payer guidelines and federal healthcare program requirements
• Review claims and billing documentation for accuracy and completeness
• Prepare billing records requested by patients, providers, and other authorized parties
• Answer department telephone calls and manage messages and requests
• Maintain accurate documentation of customer interactions and issue resolution
• Collaborate with patients, providers, and internal departments to support efficient billing operations

Requirements:

• High school diploma or equivalent required
• Excellent customer service and communication skills
• Strong organizational skills with the ability to prioritize multiple tasks
• Strong computer, office, and math skills
• Knowledge of the medical billing process, including Explanation of Benefits (EOBs), denial management, and appeals
• Ability to maintain confidentiality and provide professional service to patients and staff
• Strong attention to detail and accuracy
• Understanding of hospital insurance billing, including Medicare, Medicaid, and commercial insurance
• Knowledge of medical terminology and medical coding
• Hospital billing experience
• Epic experience