Patient Accounts Representative - Hospital Prof Billing

Nationwide Children's Hospital • Columbus, OH

2d • Hybrid

About The Position

Overview: Schedule: Monday-Friday (1st shift) Location: On-site training during the probation period until cleared to work remote. Employee must reside within Central Ohio area. Job Description Summary: Responsible for the timely processing of duties and/or activities related to the accurate processing and handling of patient accounts. Ensures that all patient account information, charges, billings, and follow-up activities are accurate, complete, and timely. Job Description: Essential Functions: Reviews patient account information for completeness and accuracy. Makes necessary changes/updates to patient account information to ensure timely payment on accounts. Retrieves status information from government and third party payers regarding outstanding professional claims. Coordinates with governmental agencies, third-party payers, and internal auditors to ensure maximum reimbursement for hospital services. Acts as a liaison between the hospital and third party payers in resolving billing and reimbursement issues. Provides follow-up on claim edits, rejections, denials, and outstanding professional claims in a timely manner. Maintains patient records and ensures confidentiality of sensitive information. EOE M/F/Disability/Vet

Requirements

• High school diploma, required.
• Knowledge of medical terminology, various claim forms, third party contracts and payment patterns, CPT and ICD9 coding, and reimbursement regulations and policies of third party payers.
• The ability to do data entry and work a calculator.
• Problem identification and problem solving skills,required.
• Excellent interpersonal, verbal, and written communication skills.
• Excellent organization skills and the ability to comprehend and follow written and verbal instructions.
• Two years' experience in medical billing, claims follow-up and customer service, required.
• One year experience working on a mainframe computer.
• Experience using Outlook, Word and Excel, required.

Nice To Haves

• Associates degree, preferred.

Responsibilities

• Reviews patient account information for completeness and accuracy.
• Makes necessary changes/updates to patient account information to ensure timely payment on accounts.
• Retrieves status information from government and third party payers regarding outstanding professional claims.
• Coordinates with governmental agencies, third-party payers, and internal auditors to ensure maximum reimbursement for hospital services.
• Acts as a liaison between the hospital and third party payers in resolving billing and reimbursement issues.
• Provides follow-up on claim edits, rejections, denials, and outstanding professional claims in a timely manner.
• Maintains patient records and ensures confidentiality of sensitive information.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees