Patient Account Representative (RBO), Full Time, Days

East Tennessee Children's Hospital

114d

About The Position

Responsible for accurate billing and collections of Physician Receivables. Gives feedback to team lead on ways to improve daily processes and improve collections. Able to work in a team environment and problem solve. Ensures clean claims and timely follow up of claims with insurance companies.

Requirements

• High School Diploma/GED.
• Physician billing and collection experience preferred.
• Excellent customer service skills and ability to work with a team.
• Familiar with rules and regulations of CMS/Tenncare and other payers.
• Excellent typing skills.
• Ability to work with insurance companies to ensure timely payment of claims.
• Problem solving skills and multi-tasking required.

Responsibilities

• Answers incoming telephone calls in a courteous and helpful manner.
• Takes initiative on calls to settle disputes when possible.
• Answers inquiries and requests; completes or refers calls to the appropriate contact.
• Relays complete, detailed messages and information to the appropriate individuals while maintaining confidentiality.
• Works collection desktop to ensure claims are worked in a time-sensitive manner.
• Works with office manager to retrieve necessary information for complete claim processing.
• Processes claims for hold and collection status.
• Verifies and edits patient/subscriber information in the computer system.
• Reviews procedure codes and diagnoses codes on rejected claims and assists office with corrections.
• Works all insurance rejections on the day they are received in a timely manner.
• Offers long-term solutions for repeat issues.
• Appeals denials as needed.
• Communicates electronically with payers to ensure proper audit trail.
• Documents accounts properly.
• Demonstrates respect and regard for the dignity of all patients, families, visitors, and fellow employees.
• Maintains professional composure and confidence during stressful situations.
• Maintains confidentiality of all hospital and patient information.
• Completes all Children’s Hospital and practice required training and CBL requirements.
• Attends all educational programs as needed.
• Maintains a safe and clean work area.
• Practices safe lifting and body mechanics.

What This Job Offers

• Education Level: High school or GED
• Number of Employees: 1,001-5,000 employees