What are the responsibilities and job description for the Patient Services Representative, Billing position at AOTI?
AOTI is the global leader in multimodality topical wound oxygen therapy. Our patented non-invasive Topical Wound Oxygen (TWO2) therapy is the only device that has demonstrated in Randomized Controlled Trial (RCT) and Real-World Evidence (RWE) studies to heal Diabetic Foot Ulcers (DFUs), resulting in an unprecedented 88 percent reduction in hospitalizations and 71 percent reduction in amputations over 12 months – because of this and more, AOTI is growing fast!
The Patient Services Representative, Billing will be responsible for building paper bills for mailing and fax submission and electronic submission via portal and clearinghouse for all insurances and third-party billers along with partnering with the prior authorization and collections departments to maximize company revenue.
General Accountabilities
The Patient Services Representative, Billing will be responsible for building paper bills for mailing and fax submission and electronic submission via portal and clearinghouse for all insurances and third-party billers along with partnering with the prior authorization and collections departments to maximize company revenue.
General Accountabilities
- Generate paper bills via PDF for mail/fax submission to insurance.
- Enter electronic bills via insurance/clearinghouse portal where applicable.
- Analyze documentation on file to ensure proper billing; eligibility, authorization, service rendered, etc.
- Ensure billing meets regulatory and insurance requirements for proper billing.
- Submit corrected claims to fix errors and in response to insurance denials.
- Recognize, flag, and resolve payor issues as they arise.
- Strong attention to detail is required to ensure accurate billing.
- 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 collections.
- 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.
- 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.
- 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.
- Possible risk of electrical shock.
- The noise level in the work environment usually is speaking level.