Patient Account Representative - PB

Saint Francis Health System

3d

About The Position

Performs any clerical billing responsibility assigned to ensure that patient accounts are processed in a manner that results in prompt and accurate payment. Acts as a liaison between Patient Account Services, physician offices, clinical areas, patients and third party carriers to identify and resolve any issues causing payment delay.

Requirements

• High School Diploma or GED.
• 1 - 2 years relevant experience.
• Basic healthcare and insurance terminology.
• High level of timeliness and accuracy.
• Basic computer knowledge and skills.
• Ability to navigate insurance websites to access patient, eligibility and payment information.
• Good communication skills - written and verbal.
• Understanding of a professional business environment.
• Basic knowledge of medical billing and insurance follow-up activity.

Responsibilities

• According to established protocols monitor, research and update patient accounts to resolve balances and maximize reimbursement.
• Answers patient, insurance and client calls and responds to correspondence in a time frame that meets or exceeds standards, to ensure resolution of account balances.
• Acts as liaison between Patient Accounts and physician offices, insurance carriers, clinical areas and other third party payers to assist with document requests, eligibility issues, contractual payment accuracy, and claim submission promptness.
• Use appropriate guidelines to evaluate and adjust accounts based upon the patient/account status (deceased patient, small balance, charity, etc.).
• Review past due self-pay balances for assignment to outside collection sources, financial assistance or payment plan opportunities.
• Monitors daily electronic claims transmission, researches and resolves electronic claim rejections, understands and performs charge corrections, understands the rejection code subsystem and ensures accurate postings of contractual payments and rejection codes.
• Reviews insurance reimbursement to verify compliance with fee schedules appealing underpayments and denials using correct tools/resources.
• Reconciles payments received and posted daily with financial accounting.
• Performs assigned billing, eligibility, and account follow-up activities and related duties as needed or other duties as assigned based on productivity expectations per assignment.

What This Job Offers

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