Patient Account Rep | Hospital Billing and Follow Up, Commercial
About The Position
The Patient Account Representative is expected to perform specific areas of billing, follow up, account resolution, adjustment posting, adjustment refunds, and scanning as required for Medicaid accounts. This position works with other departments to facilitate the meeting of both departmental and facility goals and objectives. This position is responsible for verifying that payments received are correct per our contract and for ensuring customer satisfaction and demonstrating the ability to find solutions to problems and keeping management informed of patterns regarding payments and or other issues with specific payers. The Patient Account Representative has a strong knowledge of billing, managed care, timely filing guidelines and the ability to effectively review remittance advices and electronic billing reports from payer to determine the action required. This position performs all related job duties as assigned.
Requirements
- High School diploma or equivalent.
- 0-2 years’ experience of hospital billing and follow-up
Nice To Haves
- CPAR (Certified Patient Account Rep)
- Government billing and follow up experience
- Knowledge and understanding of diagnosis, HCPCS and CPT codes.
- 1 year experience with claim edits, SSI billing system and follow-up related to Medicaid.
- Prior experience with Metrix, SSI, and HealthQuest
- Experience with spreadsheets, reporting, payer websites and sFax.
- Excellent communication and interpersonal skills
- Great typing skills along with MS Excel and Word experience
Responsibilities
- Billing
- Follow up
- Account resolution
- Adjustment posting
- Adjustment refunds
- Scanning as required for Medicaid accounts
- Verifying that payments received are correct per our contract
- Ensuring customer satisfaction
- Finding solutions to problems
- Keeping management informed of patterns regarding payments and or other issues with specific payers
- Effectively review remittance advices and electronic billing reports from payer to determine the action required
- Performs all related job duties as assigned
Benefits
- Medical, Rx, Dental & Vision Insurance
- Personal and Family Sick Time & Company Paid Holidays
- Position may be eligible for a discretionary variable incentive bonus
- Parental Leave
- 401(k) Retirement Plan
- Basic Life & Supplemental Life
- Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
- Short-Term & Long-Term Disability
- Tuition Reimbursement, Personal Development & Learning Opportunities
- Skills Development & Certifications
- Employee Referral Program
- Corporate Sponsored Events & Community Outreach
- Emergency Back-Up Childcare Program
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
