TCHP PATIENT FINANCIAL SERVICES REPRESENTATIVE

The Christ Hospital Health Network • Norwood, OH

4h

About The Position

To provide support for all aspects of the Revenue Cycle billing and collections process. Responsible for the billing and collection of accounts receivable outstanding balances. Serves as a resource for the department/services lines and other revenue cycle staff. Acts in a manner that maintains confidentiality, protects and safeguards patient personal medical and financial information at all times. Responsible for the research and resolution of all unpaid claims and the preparation of appeals for rejected or denied claims. Responsible for the timely and accurate manual and electronic posting of patient and insurance provider payments, processing regular auditing and reconciliation reports. Reviews patient encounter reports to ensure accuracy and enters medical charges to initiate claim submission to ensure regulatory and compliance as well as maximum reimbursement. Processes credit balance work queues reviewing accounts for accuracy. Determines final claim status for write offs, collections or refunds.

Requirements

• Experience in Revenue Cycle billing and collections.
• Ability to research and resolve unpaid claims.
• Skill in preparing appeals for rejected or denied claims.
• Proficiency in manual and electronic posting of payments.
• Experience with auditing and reconciliation reports.
• Ability to review patient encounter reports for accuracy.
• Knowledge of medical charge entry for claim submission.
• Understanding of regulatory and compliance requirements.
• Experience processing credit balance work queues.
• Ability to determine final claim status for write offs, collections, or refunds.

Responsibilities

• Provide support for all aspects of the Revenue Cycle billing and collections process.
• Responsible for the billing and collection of accounts receivable outstanding balances.
• Serve as a resource for the department/services lines and other revenue cycle staff.
• Maintain confidentiality, protect and safeguard patient personal medical and financial information at all times.
• Research and resolve all unpaid claims.
• Prepare appeals for rejected or denied claims.
• Timely and accurate manual and electronic posting of patient and insurance provider payments.
• Process regular auditing and reconciliation reports.
• Review patient encounter reports to ensure accuracy.
• Enter medical charges to initiate claim submission to ensure regulatory and compliance as well as maximum reimbursement.
• Process credit balance work queues reviewing accounts for accuracy.
• Determine final claim status for write offs, collections or refunds.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed