Patient Account Representative (EOB Review)

Silver Cross Hospital•Cheyenne, WY

3d•$18 - $22

About The Position

Silver Cross Hospital is an extraordinary place to work. We’re known for our culture of excellence and delivery of unrivaled experiences for our patients, their families, the communities we serve…and for each other. Come join us! It’s the way you want to be treated. EOB Review Strong understanding of hospital contracts and payment terms between the hospital and the contracted payer. The ability to interpret legal contracts. Ensure Hospital reimbursement is calculated correctly and contractualized on the account properly. The Team Member will analyze reimbursement to ensure maximum reimbursement was achieved. If reimbursement is underpaid, accurately document account stating how and account was paid, or should be paid, so others in Revenue Cycle can determine the next steps needed to resolve any balance. While verifying payment is correct, also verifying the correct insurance is on the account, if not, update as needed. Identify and report denial or underpayment trends to the attention of management. Assist in educating and training Patient Accounts Team on contract terms. Ensure patient responsibility is accurate in Meditech so patients are not over billed. Required Qualifications: Education and Training: High School graduate or equivalent. Excellent customer service skills. Must be a team player. Must have basic computer knowledge and ability to type. Previous telephone customer service experience required. Meditech and Cerner systems experience preferred. Must be able to multi-task & perform effectively & efficiently in a fast-paced & high volume environment. Needs to have a good understanding of medical insurance. Minimum of 1 year previous hospital or medical office medical insurance experience. Bi-lingual (Spanish) a plus. Work Shift Details: Days, Full-time; Days Department: PATIENT ACCOUNTS Benefits for You At Silver Cross Hospital, we care about your health and well-being and that is why we work hard to provide quality and affordable benefit options for you and your eligible family members. Silver Cross Hospital and Silver Cross Medical Groups offer a comprehensive benefit package available for Full-time and Part-time employees which includes: · Medical, Dental and Vision plans · Life Insurance · Flexible Spending Account · Other voluntary benefit plans · PTO and Sick time · 401(k) plan with a match · Wellness program · Tuition Reimbursement Registry employees who meet eligibility may participate in one of our 401(k) Savings plan with a potential match. However, registry employees are ineligible for Health and Welfare benefits. The final pay rate offered may be more than the posted range based on several factors including but not limited to: licensure, certifications, work experience, education, knowledge, demonstrated abilities, internal equity, market data, and more. The expected pay for this position is listed below: $17.99 - $22.48 INSPIRING HEALTHY RELATIONSHIPS THROUGH AN INCLUSIVE CULTURE AT SILVER CROSS. Silver Cross

Requirements

High School graduate or equivalent.
Excellent customer service skills.
Must be a team player.
Must have basic computer knowledge and ability to type.
Previous telephone customer service experience required.
Must be able to multi-task & perform effectively & efficiently in a fast-paced & high volume environment.
Needs to have a good understanding of medical insurance.
Minimum of 1 year previous hospital or medical office medical insurance experience.

Nice To Haves

Meditech and Cerner systems experience preferred.
Bi-lingual (Spanish) a plus.

Responsibilities

Strong understanding of hospital contracts and payment terms between the hospital and the contracted payer.
The ability to interpret legal contracts.
Ensure Hospital reimbursement is calculated correctly and contractualized on the account properly.
Analyze reimbursement to ensure maximum reimbursement was achieved.
Accurately document account stating how and account was paid, or should be paid, so others in Revenue Cycle can determine the next steps needed to resolve any balance.
Verify the correct insurance is on the account, if not, update as needed.
Identify and report denial or underpayment trends to the attention of management.
Assist in educating and training Patient Accounts Team on contract terms.
Ensure patient responsibility is accurate in Meditech so patients are not over billed.