Company
PatientAccountsRepresentative
Neural analysis suggests this role is
optimal for Entry candidates.
“Patient Accounts Representative. Reviews patient account information. Makes changes/updates to patient account information”
What You'll Achieve.
Ensure timely payment on accounts; Ensure maximum reimbursement for hospital services; Resolve billing and reimbursement issues
Industry & Context.
Problem identification; Problem solving
Lifting / Carrying: 0-10 lbs, Lifting / Carrying: 11-20 lbs, Pushing / Pulling: 0-25 lbs, Reaching above shoulder, Squat/kneel, Standing, Walking, Flexing/extending of neck, Patient Equipment, Peripheral vision, Audible speech, Color vision, Computer skills, Decision Making, Depth perception, Hand use: grasping, gripping, turning, Hearing acuity, Interpreting Data, Problem solving, Repetitive hand/arm use, Seeing – Far/near, Sitting
What They're Looking For.
Must Have
High school diploma, Two years' experience in medical billing, Two years' experience in claims follow-up, Two years' experience in customer service, One year experience working on a mainframe computer, Experience using Outlook, Experience using Word, Experience using Excel, Problem identification skills, Problem solving skills
Nice to Have
Associates degree
What You'll Do.
Reviews patient account information
Makes changes/updates to patient account information
Retrieves status information from payers
Coordinates with governmental agencies
Coordinates with third-party payers
Coordinates with internal auditors
Acts as liaison between hospital and payers
Provides follow-up on claim edits
Provides follow-up on claim rejections
Provides follow-up on claim denials
Maintains patient records
Ensures confidentiality of sensitive information
How You'll Work.
Communication Scope
Interpersonal skills; Verbal communication skills; Written communication skills
Full Job Description
**Overview:** Schedule: Monday-Friday (Day Shift) Fully on-site until approved to work remote (must reside within in Central Ohio and be able to come into the office once every 4 weeks) **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. **Education Requirement:** * High school diploma, required. * Associates degree, preferred. **Licensure Requirement:** (not specified) **Certifications:** (not specified) **Skills:** * 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. **Experience:** * Two years' experience in medical billing, claims follow-up and custom
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