Patient Accounts Representative

Belmont Behavioral Health System • Philadelphia, PA

110d

About The Position

Responsible for accurate, timely and complete documentation regarding insurance verification, billing and collections. The position is eligible for Hybrid / Remote model after 90 days, allowing for 3 days remote and 2 days in office.

Requirements

• High school diploma or equivalent required.
• Three or more years' experience in related field required.
• Extensive knowledge and understanding of Commercial Insurance and Medicare/Medicaid required.

Responsibilities

• Prepares and monitors monthly billing and collection processes utilizing established policies, procedures, and tracking systems.
• Verifies Medicare, Medicaid and Commercial benefits and prior authorizations.
• Identifies deductible, co-insurance and co-pay due per EOBs received.
• Compiles appropriate information for refunds, bad debt write-offs, and adjustments.
• Types, assembles, copies, files and processes data required in an accurate and timely manner.
• Makes telephone calls, writes letters, and/or sends faxes to patients, insurance carriers, and other responsible parties in the pursuit of getting a claim resolved.
• Handles and interprets medical documentation such as UB04 claim form, 1500 claim forms and EOB’s.
• Analyzes and interprets documents, contracts, notes, and other correspondence.
• Writes appeals to insurance carriers to overcome denials.
• Manages an extensive portfolio of claims by prioritizing and organizing time effectively.
• Complies with privacy laws and patient’s needs.
• Overcomes obstacles by using effective information gathering and problem solving methods.
• Participates in monthly AR reviews with Management Team.

What This Job Offers

• Education Level: High school or GED
• Number of Employees: 501-1,000 employees