Patient Account Representative, Per Diem

Samaritan Healthcare • Moses Lake, WA

351d • Hybrid

About The Position

At Samaritan Healthcare, we are dedicated to providing healthcare services to the community that we serve. We are committed to providing the very best work environment for our professionals and the very best care to our patients. This is a per diem role working various days for variable hours per week. In lieu of benefits, receive additional 12% differential.

Requirements

• High school diploma or equivalent required.
• 1-2 years of customer service and/or business office experience preferred, ideally in medical setting.
• Minimum one-year of successful, relevant experience in Hospital or Clinic billing.
• Demonstrated knowledge and experience with third party payer guidelines, reimbursement, follow-up, and collections.
• Demonstrated knowledge of claims review and analysis; ICD-10, CPT, and HCPCS coding; and medical terminology.
• Demonstrates competency on equipment listed on department specific checklist.
• Critical thinking skills: Seeks resources for direction, when necessary. Performs independent problem solving.
• Demonstrates competency in ability to care for customers/patients across the age continuum.
• Bilingual (English/Spanish) preferred.

Responsibilities

• Completes daily electronic billing file and submits insurance claims to third-party payers.
• Reviews, evaluates, and forwards paper claims to payers that do not accept electronic claims or that require special handling.
• Documents billing activity on the patient account; ensures compliance with all applicable billing regulations and reports any suspected compliance issues to departmental leadership.
• Answers multi-line phone quickly and courteously, answer patients/guarantors concerns/questions with regards to billing, payments, and adjustments.
• Follows best practice to ensure timely follow-up on all accounts and verifies accurate reimbursement from payers.
• Communicates directly with payers to follow up on outstanding claims and resolve payment variances.
• Uses correct billing codes to ensure proper claim processing.
• Practices excellent customer service skills by answering patient and third-party payer questions and/or addressing billing concerns in a timely and professional manner.
• Researches denials, correct and resubmit in a timely manner.
• Assists with review and resolution of credit balances.
• Maintains superior understanding of claims management, third-party payer guidelines, state and federal regulations.
• Assures accurate application of payments received and timely processing of refunds.
• Follows department's documentation policy to ensure necessary information is documented in the patient's account.
• Maintains working knowledge of rules and regulations regarding patient status.
• Maintains professional growth and development through seminars, workshops and professional affiliations.
• Ensures no injuries to self or others by following safe work practices and policies.
• Ensures self-compliance with organization policies and procedures.
• Ensures the interface with team members and other support groups is conducted in a courteous and efficient manner.
• Conducts self in a professional manner and ensures personal appearance meets the standards necessary to perform the job function.
• Ensures that additional accountabilities, as may be required by management, be handled in a manner necessary to meet organizational standards.

Benefits

• In lieu of benefits, receive additional 12% differential.

What This Job Offers

• Industry: Administration of Human Resource Programs
• Education Level: High school or GED
• Number of Employees: 501-1,000 employees