Billing Patient Account Representative

CompuNet Clinical Laboratories • Moraine, OH

1d • 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.

Benefits

• CompuNet offers a full benefits package including Medical, Dental, and Vision coverage.
• Company paid life Insurance and 403b match.
• Paid holidays, vacation, sick and personal time.

What This Job Offers

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