Patient Account Representative

Sheppard Pratt

22d

About The Position

Under general supervision and in accordance with established policies and procedures, the Patient Account Representative is responsible for the daily charge entry, processing, billing, and payment posting for Sheppard Pratt for all lines of business. This role utilizes a patient information management system and computerized billing system to initiate and update patient accounts, generate data required for preparation of third-party claims and client statements, and adjust third party/self-pay data. The position also involves using the McKesson Horizon Patient Folder (HPF) system to promote a paperless environment for posting electronic payments, posting payments and charges to the IDX system, and reviewing and accessing EOB data for electronic billing. Additionally, the McKesson HPF system is used to obtain copies of explanation of benefits (EOB), referrals, and other documentation necessary for both primary and secondary billing. The Allscripts system is employed to submit physician charges electronically through to the IDX system. The representative is required to prepare and maintain documentation in accordance with department policy and procedures. The vast majority of this position involves interaction with insurance companies, with a very small percentage involving interaction with clinicians and patients.

Requirements

Ability to read, write, and speak English in order to effectively communicate with a wide variety of people regarding billing policies and procedures and patient account issues.
Ability to perform arithmetic computations and adjust debits and credits.
Ability to type at acceptable levels of speed and accuracy in order to compose and proofread business correspondence.
Generalized high school education or a relatively brief (six months or less) period of intensive training outside of high school in basic accounting or bookkeeping.
Knowledge of billing practices and procedures, collections, and third-party reimbursement procedures.
Experience calculating allowances, deductibles, co-pays, and coinsurances.
Familiarity with computerized billing systems.
Six to twelve months' experience in related billing and health insurance work.
Proficiency in using common office equipment (i.e., PC, calculator, etc.).
Proficiency in Allscripts direct charge entry system and McKesson Horizon Patient folder system (acquired through on-the-job training).

Nice To Haves

Follow-up and Medicaid experience

Responsibilities

Responsible for the daily charge entry, processing, billing, and payment posting for Sheppard Pratt for all lines of business.
Uses patient information management system and computerized billing system to initiate and update patient accounts.
Generates data required for preparation of third-party claims and client statements.
Adjusts third party/self-pay data.
Uses the McKesson Horizon Patient Folder (HPF) system to promote a paperless environment to post electronic payments.
Posts payments and charges to the IDX system.
Reviews and accesses EOB data for electronic billing.
Uses the McKesson HPF system to obtain copies of explanation of benefits (EOB), referrals, and other documentation necessary for both primary and secondary billing.
Uses the Allscripts system to submit physician charges electronically through to the IDX system.
Prepares and maintains required documentation in accordance with department policy and procedures.

Benefits

A commitment to professional development, including a comprehensive tuition reimbursement program to support ongoing education and licensure and/or certification preparation
Comprehensive medical, dental and vision benefits for benefit eligible positions
403b retirement match
Generous paid-time-off for benefit eligible positions
Complimentary Employee Assistance Program (EAP)
Generous mileage reimbursement program

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