Patient Accounts Representative

Moses/Weitzman Health SystemRemote - Connecticut, CT
Remote

About The Position

Coordinates and performs all aspects of accounts receivable collection and reprocessing of claims. This position is available for remote work.

Requirements

  • Associates degree in Health Information Management Systems (or related field) with 1+ years’ experience in a healthcare billing and collections office OR Coding Certification/Billing Certificate Program (AAPC’s CPC or AHIMA’s CCA) with 2 years’ experience in a healthcare billing and collections office
  • In depth knowledge of CPT and ICD-10 Codes, Medicare and Medicaid billing rules.
  • Insurance reimbursement methods, the claims appeal process, understanding of managed care contracts and capitation payments
  • Proficient in Microsoft Excel, Word, Access and Outlook

Responsibilities

  • Audits and resolves accounts with credit balances
  • Audits and resolves accounts with outstanding balances and determines disposition of delinquent accounts
  • Posts payments and adjustments and take action when rates do not match established fee schedules
  • Performs necessary rebilling or adjusting on accounts
  • Responds to patient inquiries regarding process of services
  • Answers incoming Patient Accounts calls as member of the AR team phone queue
  • Cross trains within department to provide coverage when necessary
  • Collaborates with Office Managers regarding quality of data obtained by office staff, healthcare providers.
  • Organizes work load to achieve a high level of productivity
  • Notifies Manager of information that negatively impacts production
  • Assist with special projects as needed
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