Patient Account Representative - Medical Billing and Claims
About The Position
Assists patients in interpreting hospital policies, procedures, and services, and in obtaining solutions to problems and concerns. Identifies priority patient satisfaction issues and suggests recommendations for resolution. Educates patients and their families about patient rights in accordance with state law. May also assist in the handling of patient inquiries, correct/update billing details. Under general supervision and according to established policies and procedures, performs a variety of duties related to processing of overpayments made to UAHSF MSO /UAB Hospital. Duties may include but are not limited to; timely and accurately processing of overpayment requests, post contractual adjustments, write offs, or transfers accordingly to resolve credit balances, resubmits claims and supporting documentation as needed, and communicates with third party payers in response to overpayment requests and/or to obtain insurance hierarchy information. Communicates issues to management timely. Performs other duties as assigned by direct supervisor.
Requirements
- High school diploma or equivalent
- 0-2 years of prior relevant experience and general knowledge of payer-specific or medical billing
- High school diploma or equivalent
- 1-3 years of prior relevant experience and general knowledge of payer-specific or medical billing
Nice To Haves
- Previous experience in working credit balance accounts and processing patient and insurance overpayments.
- Experience working with specialized insurance companies.
- Ability to evaluate complex situations; identify root cause and propose solutions.
- Experience working with UB04 and CMS 1500 claim forms, appeal and denials.
- Knowledge of CPT and ICD-10 coding
Responsibilities
- Assists patients in interpreting hospital policies, procedures, and services, and in obtaining solutions to problems and concerns.
- Identifies priority patient satisfaction issues and suggests recommendations for resolution.
- Educates patients and their families about patient rights in accordance with state law.
- May also assist in the handling of patient inquiries, correct/update billing details.
- Timely and accurately processing of overpayment requests.
- Post contractual adjustments, write offs, or transfers accordingly to resolve credit balances.
- Resubmits claims and supporting documentation as needed.
- Communicates with third party payers in response to overpayment requests and/or to obtain insurance hierarchy information.
- Communicates issues to management timely.
- Performs other duties as assigned by direct supervisor.
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
