Billing Patient Account Representative

CompuNet Clinical Laboratories • Moraine, OH

11d • Onsite

About The Position

Under the supervision of the Billing Department Manager, this role performs daily account processing tasks for the Billing Department. This includes billing data entry, third-party billing, cash application, account adjustments/refunds, reviewing denials and resubmitting claims. The representative will also handle incoming and outgoing calls to patients and clients, maintaining positive 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 a 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 for account processing questions.
• Exhibit good customer service skills with internal and external customers, projecting 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.
• 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 received from other departments into the appropriate billing systems.
• Collaborate with internal and external departments and handle patient/client calls using strong communication skills.
• Batch incoming payments for posting to patient and physician accounts, reporting deposit discrepancies to the bank, and maintaining 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 as appropriate.
• 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.
• Utilize verbal and written communication effectively with a strong focus on positive customer impact.
• 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.

Benefits

• Medical coverage
• Dental coverage
• Vision coverage
• Company paid life Insurance
• 403b match
• Paid holidays
• Vacation time
• Sick time
• Personal time

What This Job Offers

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