Billing Patient Relations Specialist

The Billing Patient Relations Specialist supports medical billing and revenue cycle operations by processing insurance claims, posting payments, resolving claim issues, handling patient account inquiries, and ensuring accurate reimbursement from insurance carriers. This role serves as a liaison between patients, insurance companies, and the billing department while maintaining compliance with healthcare billing regulations.

Representatives are responsible for educating patients about insurance benefits, explaining EOBs, processing refunds, resolving billing concerns, and supporting claim follow-up activities. The position requires strong customer service skills, medical billing knowledge, and attention to detail.

### Key Responsibilities

* Process and submit insurance claims using billing software
* Post insurance and patient payments accurately
* Research and resolve claim processing issues
* Explain insurance benefits and EOBs to patients
* Maintain knowledge of insurance billing guidelines and regulations
* Process insurance overpayments and patient refunds
* Follow up on outstanding claims and payment issues
* Communicate with insurance companies regarding claim resolution
* Respond to patient billing inquiries and concerns
* Maintain accurate patient account information
* Support patient satisfaction and engagement initiatives
* Cross-train in insurance verification, coding, and appeals functions
* Ensure compliance with billing policies and procedures

### Requirements

* High School Diploma or GED required
* Minimum one year of billing experience or equivalent experience
* Strong organizational and prioritization skills
* Ability to work in a fast-paced environment
* Strong attention to detail
* Ability to maintain confidentiality
* Strong customer service skills
* Ability to manage multiple responsibilities simultaneously
* Excellent communication skills

### Preferred Qualifications

* Two years of medical billing experience
* Administrative medical office experience
* Experience with Modernizing Medicine software
* Knowledge of Medicare, Medicaid, Managed Care, and Commercial Insurance billing
* Experience with appeals, coding, and insurance verification

### Benefits

* Medical Insurance
* Dental Insurance
* Vision Insurance
* Life Insurance
* Short-Term Disability Coverage
* Mental Health Services
* 401(k) with Company Match
* HSA and FSA Options
* Tuition Assistance
* Certification Reimbursement
* Employee Discounts
* Supplemental Insurance Options

### Good Fit For

This role may be a strong fit for candidates with experience in medical billing, payment posting, patient accounts, insurance verification, claims processing, healthcare administration, revenue cycle management, EOB review, refunds, appeals, or customer service within a healthcare setting.