Patient Account Representative - Per Diem

River Hospital•Alexandria Bay, NY

About The Position

River Hospital is seeking a Medical Billing Representative working for our Patient Accounting Department per diem. Job Purpose Responsible for all facets of medical billing and accounts receivable management including charge entry, payment posting, customer service and follow-up in accordance with practice protocol with an emphasis on maximizing patient satisfaction and profitability. Responsible for reviewing the patient demographic at the time of charge entry to ensure accuracy and to provide feedback to the other front office staff regarding patient registration. Responsible for reviewing the physician’s coding at the time of charge entry to ensure accuracy, timely payments, and to maximize revenue. Responsible for submitting insurance claims both electronically and on paper once per day. Required to ensure efficient and professional practice operations and maximum patient satisfaction.

Requirements

High school diploma or GED is required.
A college degree is preferred.
Requires an extensive working knowledge of accounts receivable functions including CPT and ICD 10 coding.
Requires an extensive working knowledge of managed care networks and insurance carriers.
Requires a good understanding of the current Medicare Compliance, OSHA, and HIPAA regulations.
3-5+ years recent accounts receivable experience to include payment posting and credit resolution.
Thorough knowledge of financial and accounting procedures
High degree of tact and discretion
Solid PC skills including MS Office, MS Excel, and Electronic Medical Records (EMR)
Strong written and oral communication skills
Ability to interact with staff at all levels
Requires a minimum typing speed of forty (40) words per minute and ten-key by touch.
Requires proficiency in general office automation including operation of fax machines, copy machines, adding machines, postage machines, and multi-line phone systems.
Requires proficiency in working with a PC, the Internet, and MS Windows.
Requires a high degree of organization.
It is the employee’s responsibility to know the requirements for certification, limited permit and licensure for their individual profession.
It is also the responsibility of the employee to notify the employer of the status of any certification or licensure issue or potential issue.
The employee will comply with all of the requirements outlined by the New York State Office of professions for the particular profession.