Billing Patient Account Representative

CompuNet Clinical Laboratories•Moraine, OH

3d•Remote

About The Position

This role involves performing daily account processing tasks for the Billing Department, including data entry, third-party billing, cash application, and account adjustments/refunds. The representative will also review denials, resubmit claims, and handle calls to patients and clients while maintaining positive relationships. The position requires maintaining an organized workflow, adhering to standard processes, and consulting with supervisors when needed. Excellent customer service, teamwork, and meeting performance standards are essential. A working knowledge of relevant compliance regulations and their application to daily duties is necessary, along with compliance to all departmental, company, and regulatory policies and procedures. The role also includes maintaining statistical data, accurately performing order entry, researching and resolving missing information from client orders, and using translation tools to enter codes into billing systems. Strong communication skills are needed for collaboration and patient/client calls. Responsibilities extend to batching incoming payments, reporting deposit discrepancies, maintaining cash reports, applying payment details to accounts, and reviewing overpayments for refunds or corrections. Understanding various payer's Explanation of Benefits, handling high call volumes with multitasking skills, processing patient mail and inquiries, and effectively utilizing verbal and written communication are key. The role also involves reviewing bankruptcy notices for write-offs, maintaining bankruptcy files, researching collection accounts, and correcting system error codes.

Requirements

High school graduate or equivalent required.
Visual acuity and hand-finger dexterity for extended computer work.
Ability to sit at computer workstation for prolonged periods.
Sound reasoning ability and independent judgment.
Capacity to work within specified deadlines.
Excellent communication and interpersonal skills.
Ability to remain calm in stressful situations.
Adherence to safety, ergonomic and health policies.
Compliance with PPE requirements in lab or biohazard areas.
Completion of required safety training and health evaluations promptly.
Proactive approach to identifying and addressing safety hazards, promoting safety awareness.

Nice To Haves

Previous experience in medical billing environment preferred.
Working knowledge of Medicare and other third party claims processing, ICD-10 and HCPS/CPT coding and medical terminology highly desirable.
Ability to handle fast paced, high call volume environment with above average multi-tasking skills.
Strong focus on positive customer impact.
Knowledge of reading and understanding various payer’s Explanation of Benefits.

Responsibilities

Perform daily account processing tasks including billing data entry, third party billing, cash application, account adjustments/ refunds.
Review denials and resubmit claims.
Answer incoming and place outgoing calls to patients and clients.
Maintain organized workflow for efficient processing and smooth transition of job duties during absences.
Follow department standard processes.
Consult with immediate supervisor when questions regarding appropriate account processing arise.
Exhibit good customer service skills when dealing with internal and external customers.
Project a positive image of the department and organization.
Actively engage in behaviors that foster teamwork within the department and organization.
Meet or exceed department standards for quantity and quality of work.
Possess working knowledge of relevant compliance regulations and effectively apply this knowledge to daily job duties.
Comply with all departmental, company and regulatory policies and procedures.
Maintain statistical data as required.
Accurately perform order entry.
Research and resolve any missing information from the Client orders.
Use translation tools to enter codes received from other departments into the appropriate billing systems.
Batch incoming payments for posting to patient and physician accounts.
Report deposit discrepancies to bank.
Maintain report of posted and in-transit cash for Accounting Department.
Apply payment detail to client and patient accounts, including contractual disallowances, and patient copays/deductibles.
Review over payments, initiating refunds or correcting misapplied payments as appropriate.
Process incoming patient mail and telephone inquiries accurately and in a timely fashion as outlined in the Department SOP.
Utilize verbal and written communication effectively.
Review bankruptcy notices performing appropriate write-offs of outstanding accounts; maintain bankruptcy files.
Research collection accounts as requested by patients or collection agencies.
Review system error codes and make corrections to account.