Patient Account Representative-Full time- Waterloo-on site

Trinity Health

36d•Onsite

About The Position

Join the MercyOne Family! We are looking to hire a Patient Account Representative! You will be responsible for registration and billing to third party payers for Wheaton Franciscan Healthcare-IA. Adheres to Wheaton Franciscan Healthcare’s performance expectations and performs all defined services and other related duties in accordance with the mission of Wheaton Franciscan Healthcare.

Requirements

Minimum of 6 months medical office or insurance experience
High school or Equivalent (GED)
Associates Degree: degree in accounting preferred
Billing experience preferred
Experience with Brightree a plus!

Responsibilities

Receives claims and ensures clean copy is sent to insurance company.
Reviews paper claim and fills in locators for insurance company and updates series when needed.
Transfers corrections onto computer system.
Sends claim to insurance company (electronically or via mail).
Maintains knowledge of current standards with insurance company and assure compliance.
Follows up on claims on first-time billings and takes action as appropriate.
Resolves discrepancies in bill payment by following up with insurance company.
Initiates correspondence between insurance company and patient.
Determines appropriate action to take (i.e., resubmitting claim, billing patient, billing secondary insurance).
Resolves billing issues with insurance companies, patients and physicians’ offices.
Follows up on correspondence with customers.
Initiates communication with other health system departments for clarification.
Responds to customer inquiries via phone and takes appropriate action.
Communicates results of investigations to customers.
Documents all communications and actions in series system completely.
Creates an account from clinic encounters.
Enters charges into computer system.
Adheres to all safety, infection control and employee health policies and procedures.
Attends required safety programs.
Appropriately and consistently uses the personal protective equipment required of the job.
Knows and can demonstrate departmental emergency procedures for fire, disaster and other emergency situations.
Reports and removes unsafe equipment/furniture.
Asks for assistance when needed to assure safety for all involved.
Maintains a safe working environment and practices safe working habits.