Billing Patient Account Representative

CompuNet•Moraine, OH

40d•Onsite

About The Position

Under the supervision of the Billing Department Manager: perform the daily account processing tasks of the Billing Department including billing data entry, third party billing,cash application, account adjustments/ refunds; review denials and resubmit claims; answer incoming as well as place outgoing calls to both patients and clients while maintaining positive internal and external working relationships with patients, clients and third party payers.

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.

Responsibilities

Maintain organized workflow to allow efficient processing of accounts and to enable 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. Effectively apply this knowledge to daily job duties.
Comply with all departmental, company and regulatory policies and procedures.
Maintain statistical data as required.
Additional duties and projects as assigned.
Ability to accurately perform order entry.
Research and resolve any missing information from the Client orders.
Ability to use translation tools to enter codes received from other departments into the appropriate billing systems.
Strong communication skills needed for collaboration with both internal and external departments as well as patient/client calls.
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.
Knowledge of reading and understanding various payer's Explanation of Benefits.
Ability to handle fast paced, high call volume environment with above average multi-tasking skills.
Process incoming patient mail and telephone inquiries accurately and in a timely fashion as outlined in the Department SOP.
Possess strong focus on positive customer impact. 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.