Patient Account Representative

Windrose Health Network Inc•Trafalgar, IN

14h•Hybrid

About The Position

Do you have a passion for serving our patients and our communities by providing high-quality, family-oriented, primary and preventive health care services? Are you looking for a rewarding career with a company that has a dynamic work culture? If the answer is yes, the Patient Account Representative position at WindRose Health Network could be the job you are looking for. We are currently seeking a Patient Account Representative that will work effectively within the WindRose Health Network culture, which is described as family-friendly, supportive, transparent, and treats employees as we would want employees to treat our patients. We are seeking a Patient Account Representative that will be located in Johnson County who is a good advocate for their patients, solution-oriented, honest and passionate. WindRose Health Network provides an opportunity for our employees to gain experience in a high energy, caring, supportive, technology-enhanced work environment, while making a difference in the lives of others. To provide billing services according to WHN policies, procedures and protocols: Generates claims, both paper and electronic, for assigned WHN facilities and attachment of any information to facilitate primary or secondary filing of claims. This process includes all research of any necessary EOB’s, dictation, etc. When indicated, claims are prepared for mailing. Runs Electronic Claims Submission, including correcting any errors prior to submitting claims. Responsible for correcting denied claims, (electronic or paper), as well as resubmitting corrected claims and following-up on all re-submissions. Resolves problems related to billing or insurance collections. With the approval of WHN’s Billing Manager, is authorized to work out payment plans with patients according to established WHN policy. Follows-up on insurance pending accounts along with maintaining A/R days outstanding according to WHN policies. current denials, contacting insurance companies by telephone, as needed. Responsible for researching and writing any refund requests due to patients and other payers. Ensures that all revenues are properly deposited. Enters all un-posted charges and reviews any charges that have been entered. Answers all incoming billing questions and returns any missed calls.. Reviews the status of patient accounts, placing “billing alerts” as necessary. After 150 days under billing alert with no payment, such balances are adjusted off to “bad debt” and the patient’s account is blocked. Conducts “sliding fee scale” audits every 30 days and forwards the audit results to the Practice Managers. conducts all activities in compliance with applicable laws, regulations, standards, and WHN policies and procedures including Blood and Body Substance Precautions

Requirements

Knowledge, Skills & Abilities This position requires effective levels of skill with a computer and other office equipment - - calculator, facsimile machine, photocopier, and telephone; knowledge of and facility with Microsoft Word, Excel, and other software applications; knowledge of medical billing practices; analytical and problem-solving skills; the ability to address patient-service issues guided by WHN policies and procedures; knowledge of safety issues in an office setting; the ability to examine documents for accuracy and completeness; and good interpersonal skills when it comes to building and maintaining effective business/work relationships and working successfully with others.
Education. A qualified candidate will have a high school diploma or GED.
At least three (3) year of experience in billing/coding for an outpatient, primary care clinic or a hospital required
A qualified candidate must have a working knowledge of at least one word processing software package in Microsoft Office.
Maintains a solid working knowledge of all insurance plans and Medicare and Medicaid regulations.

Nice To Haves

training at a qualified educational institution that included medical practice software, ICD10, CPT10 and HCPCS coding and proper insurance filing, preferred
Experience working with at least one (1) Electronic Medical Record/Practice Management System, preferred.

Responsibilities

Generates claims, both paper and electronic, for assigned WHN facilities and attachment of any information to facilitate primary or secondary filing of claims. This process includes all research of any necessary EOB’s, dictation, etc. When indicated, claims are prepared for mailing.
Runs Electronic Claims Submission, including correcting any errors prior to submitting claims.
Responsible for correcting denied claims, (electronic or paper), as well as resubmitting corrected claims and following-up on all re-submissions.
Resolves problems related to billing or insurance collections.
With the approval of WHN’s Billing Manager, is authorized to work out payment plans with patients according to established WHN policy.
Follows-up on insurance pending accounts along with maintaining A/R days outstanding according to WHN policies. current denials, contacting insurance companies by telephone, as needed.
Responsible for researching and writing any refund requests due to patients and other payers.
Ensures that all revenues are properly deposited.
Enters all un-posted charges and reviews any charges that have been entered.
Answers all incoming billing questions and returns any missed calls..
Reviews the status of patient accounts, placing “billing alerts” as necessary. After 150 days under billing alert with no payment, such balances are adjusted off to “bad debt” and the patient’s account is blocked.
Conducts “sliding fee scale” audits every 30 days and forwards the audit results to the Practice Managers.
conducts all activities in compliance with applicable laws, regulations, standards, and WHN policies and procedures including Blood and Body Substance Precautions