Billing Problem Resolution

Duties and Responsibilities

• Initiate proactive measures that result in account resolution.
• Follow up on all assigned accounts in accordance with the pre-established goals.
• Research and analyze the account and payments.
• Respond timely and accurately to all incoming correspondence and inquiries.
• Initiate recommendations and action plans for resolving the account (examples may include rebilling the claim and/or checking the status of a claim).
• Document in our database explaining what actions were taken to resolve each account.
• Customer Service Representatives are required to perform a wide variety of clerical duties. All Billing Resolution staff must be available to assist the customer service team with incoming calls when needed.

Minimum Required Performance

• Each Billing Resolution Associate (BPR) Representative is required to maintain the department’s set goals.
• For the first month each BPR Representative is required to complete 10-15 BPR accounts per day.
• By the second month each Billing Resolution Associate is required to complete 15-20 BPR accounts per day.
• By the third month each Billing Resolution Associate is required to complete 20-30 BPR accounts per day.

Required Knowledge, Skills, and Experience

• High School Diploma or equivalent.
• Minimum 6 months of medical billing experience.
• Excellent organizational skills and attention to detail.
• Ability to follow through and keep current with consistent policy changes.
• Solid customer service and telephone skills.
• Knowledge and aptitude for basic computer skills.
• Excellent written and verbal communication skills.
• Working hours 7:00 am‑3:30 pm or 8:00 am‑4:30 pm as assigned.
• Customer service call center experience preferred.
• Must pass pre-employment assessment tests.
• Proficiency with numbers and research.

Physical Requirements

• Continuous sitting (up to 6 hrs/day).
• Continuous walking (up to 6 hrs/day).
• Intermittent bending, squatting, and climbing.
• Simple grasping with both hands.
• Typing/Data Entry.

The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities.