Patient Account Rep- RBO Full Time Days

East Tennessee Children's Hospital

8d•Onsite

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
Excellent customer services skills and ability to work with a team required.
Familiar with rules and regulations of CMS/Tenncare and other payers to ensure proper collection of insurance data to finalize claims for proper billing and to proper payer on first claim submission.
Excellent typing stills.
Ability to work with insurance companies to ensure timely payment of claims.
Problem solving stills and multi tasking required.
HIPAA information has been verified in system.
Only accesses accounts needed to complete resolution of the account.
Cannot access friends’ or family’s accounts.
Refers any accounts you feel should not be accessed by you to your team leader, neighbor, in-law issue etc. for reassignment.
Continuously displays a “can do” attitude within the practice and across other departments lines to contribute to the overall focus on service excellence.

Nice To Haves

Physician billing and collection experience preferred

Responsibilities

Answers incoming telephone call in a courteous and helpful manner.
Takes initiative on the call to settle any disputes when possible.
Answers inquiries and requests; completes or refers call to the appropriate contact.
Relays complete, detailed messages and information to the appropriate individuals, while marinating confidentially of all information.
Works collection desktop to ensure that claims are worked in a time sensitive nature in ore to reduce/eliminate timely filling errors.
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 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 payer when possible to ensure proper audit trail to prove timely and dispute any improper response with account representative etc.
Documents accounts properly.
Demonstrates respect and regard for the dignity of all patients, families, visitors, and fellow employees to ensure a professional, responsible, and courteous environment.
Interacts with all patients and staff in a considerate and help manner.
Maintains professional composure and confidence during stressful situations.
Maintains confidentiality of all hospital and patient information at all times.
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.
Willingly accepts any other assignment that may be requested.
Utilizes hospital resources and time respectfully and accountably.
Works as efficiently as possible to ensure best use of time.