Billing Patient Account Representative

CompuNet Clinical Laboratories • Moraine, OH

9d • Onsite

About The Position

This full-time, day shift position (8:00 AM - 5:00 PM) is located at our Core Lab in Moraine, OH. Under the supervision of the Billing Department Manager, the Billing Patient Account Representative performs daily account processing tasks. This includes billing data entry, third-party billing, cash application, account adjustments/refunds, reviewing denials and resubmitting claims, and handling patient and client calls. The role requires maintaining positive working relationships with patients, clients, and third-party payers.

Requirements

• High school graduate or equivalent required.
• 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.
• 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.
• 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 for efficient processing of accounts and smooth transition of job duties during absences.
• Follow department standard processes and consult with supervisor on account processing questions.
• Exhibit good customer service skills with internal and external customers.
• Project a positive image of the department and organization.
• Engage in behaviors that foster teamwork.
• Meet or exceed department standards for quantity and quality of work.
• Possess working knowledge of relevant compliance regulations and apply it to daily duties.
• Comply with all departmental, company, and regulatory policies and procedures.
• Maintain statistical data as required.
• Perform additional duties and projects as assigned.
• Accurately perform order entry.
• Research and resolve missing information from client orders.
• Use translation tools to enter codes from other departments into billing systems.
• Collaborate with internal and external departments and handle patient/client calls.
• Batch incoming payments for posting to patient and physician accounts.
• Report deposit discrepancies to the bank.
• Maintain a report of posted and in-transit cash for the Accounting Department.
• Apply payment detail to client and patient accounts, including contractual disallowances and patient copays/deductibles.
• Review overpayments, initiating refunds or correcting misapplied payments.
• Understand and interpret various payer's Explanation of Benefits.
• Handle a 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.
• Focus on positive customer impact.
• Utilize verbal and written communication effectively.
• Review bankruptcy notices, performing appropriate write-offs of outstanding accounts and maintaining bankruptcy files.
• Research collection accounts as requested by patients or collection agencies.
• Review system error codes and make corrections to accounts.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED