Patient Account Rep-Biller

JEFF DAVIS HOSPITAL • Hazlehurst, GA

3d • Onsite

About The Position

This position involves reviewing and filing insurance claims in a timely manner, with a primary focus on Medicare and Medicaid for Critical Access Hospitals. The role requires a strong understanding of Medicare and Medicaid rules and regulations, including the fiscal year-end closing process and the DDE system for eligibility, claims, and submission status. Responsibilities also include following up on secondary claims, maintaining logs for Medicare crossover and bad debt, and knowledge of PS&R and HS&R reports. The role may also involve assisting with self-pay and after-insurance accounts, and demonstrating competency in all required Business Office Procedures. Additionally, the position requires knowledge of payment deposits, deductibles, indigent care information, and payment plan arrangements for inpatients upon discharge.

Requirements

• High School Diploma or GED required.
• 3 years related experience and/or training.
• Or equivalent combination of education and experience.
• At least 3-year experience in medical claim filing.
• Vast knowledge of Medicare and Medicaid guidelines for Critical Access Hospitals.
• Basic typing skills.
• Proper phone etiquette.
• Computer software and electronic claims input.
• Ability to read and comprehend simple instructions, short correspondence and memos.
• Experience using the DDE (Direct Data Entry) application for Medicare claims, submissions and status on billing.
• Ability to effectively present information in one-on-one and small group situation to customers, clients, and other employees of the organization.

Nice To Haves

• Vast knowledge of Medicare and Medicaid rules and regulations as this will be the primary focus for this position.
• Vast knowledge of Critical Access Hospital rules and regulations for Medicare fiscal year end closing process and experience with DDE system within Medicare for access with eligibility, claims and submission status.
• Knowledge of PS&R and HS&R reports.

Responsibilities

• Reviews and files insurance claims in a timely manner.
• Follows up with secondary claims timely.
• Keeps log of all Medicare cross over and bad debt logs for cost reports.
• Assists with self-pay accounts and after insurance accounts when needed.
• Demonstrates competency in all required Business Office Procedures.
• Handles payment deposits, deductibles, indigent care information and/or payment plan arrangements upon discharge for inpatients.

What This Job Offers

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