Patient Services Representative

Job Description

Job Description

Cancer Specialists of North Florida is recruiting for an experienced Patient Services Representative for our busy Southside Office . The Patient Services Representative is responsible for performing the general business office functions ie : billing and claim submissions; charge capture and payment posting; insurance verification and eligibility; obtaining pre-authorization; counseling patients and families on insurance and payment issues; and account follow-up and payment resolution. May assist patients and families with obtaining community resources including, but not limited to, housing, transportation, and financial support. Essential duties and responsibilities include the following :

• Ensures all insurance, demographic, and eligibility information is obtained from patients and entered into the system in an accurate and timely manner. Registers patients in the system as necessary.
• Collects and reviews all patient insurance information and completes insurance forms. Collects co-pays, deductibles and other out of pocket amounts at the time of visit.
• Confirms patient insurance verification and eligibility. Obtains pre-authorization of services and / or referrals. Assesses patient financial requirements and advises patients and families on insurance benefits, co-pays and financial obligations.
• Posts line items and adjustments to patient accounts. Balances receipts, reconciles daily work batches and prepares audit trail. Prepares deposits for bank as needed.
• Reviews Explanation of Benefits (EOB) for consistency.
• Submits files and processes all claims for payment. Researches and resolves claim delay issues.
• Resolves patient questions and complaints regarding insurance billing and adjusts accounts as necessary. Resubmits claims and processes all insurance / patient correspondence. Provides all documentation to expedite payment.
• Follows-up on assigned accounts. Uses collection techniques to keep accounts current including monitoring for delinquent payments.
• Sets-up financial arrangements with patients as necessary.
• As necessary, assists patients with researching and obtaining community resources including housing, transportation, drugs and pharmaceutical supplies, and financial resources.
• All other duties as assigned.

Full-time position

Location Address : 7015 AC Skinner Parkway, Suite 1, Jacksonville, FL 32256

Education and / or Experience :

Compensation and Benefits :

Cancer Specialists of North Florida is an "EEO Employer” and “Drug Free Workplace”