Patient Services Representative - St Louis, MO

GroupOne Health Source Saint Louis, MO

GroupOne Health Source is a highly successful medical billing and consulting company. We are one of the largest medical billing firms that specialize in eClinicalWorks EMR system. As a result of our industry success and unprecedented growth, we are looking for an experienced Patient Services Representative to join our team. The position exists to assists patients with their billing/statements inquiries in order to get payments processed quickly for our clients. The primary responsibility of this position is to provide an exceptional level of customer service for every patient and client as well as work successfully with third party payers and patient guarantor to resolve outstanding balances.

If you are looking for a quality organization to join and have a background in reviewing patient accounts, collecting patient payments and have a strong knowledge of working with third party payers this might be the job for you! We are looking for people who take pride in their detailed work and love to learn.


* Reviews patient's account to ensure accuracy

* Identifies and resolves patient billing complaints

* Answers multi-line phone system

* Manages inbound and outbound phone calls from patients and staff relating to patient accounts

* Maintains required records and files

* Processes all clerical records and patient information requested to resolve patient account balances

* Responds promptly and completely to all written patient inquiries and request for additional information, etc., to obtain a final resolution to the problem

* Responds to patient inquiries, researching and resolving unpaid balances and credit balances

* Performs various collection action including contacting patients by phone and resubmitting claims for third party reimbursement

* Interprets and communicates client billing practices, insurance claims, submissions, and out-of-pocket patient responsibility to all customers; including physicians, physicians' office staff, patients and others with a business need to know

* Evaluates patient financial status and establishes budget payment plans

* Posts accurate account adjustments, corresponds with clients to reverse adjustments and update notes on the account

* Follows department policy and procedures to ensure the maintenance of adequate account documentation to meet audit requirements

Desired Skills/Qualifications:

* High School diploma or equivalent

* Knowledge of medical terminology, medical billing/collection practices, and basic medical coding

* Knowledge of Medicare and Medicaid billing guidelines as well as third party operating procedures

* Knowledge of customer service concepts, techniques and etiquette

* Excellent verbal and written communication skills

* Bilingual (English/Spanish) is a plus

* Strong knowledge of computerized billing systems

* Basic office skills

* Knowledge of computer programs, spreadsheets and applications

* Knowledge of legal and regulatory government provisions