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Join Our Team

Patient Account Representative

Posted: Oct 01, 2024

  • Category Patient Financial Services
  • Department PFS
  • Schedule Full-time
  • Shift M-F, 8-4:30
  • Facility Daviess Community Hospital

Job Description

  • Works within Patient Financial Services with primary focus on keying payments into Allscripts system.
  • Responsible for billing claims, compiling itemized bills, verifying patient insurance coverage and computing patient insurance benefits to achieve maximum reimbursement.
  • Works closely with Patient Access, HIM and Physicians' office staff.
  • Provides financial counseling to patients and families in accordance with the facility's policies.
  • Assists patients/families with financial arrangements including financial assistance for qualified patients from outside agencies.
  • Participates in performance improvement and CQI activities.
  • Responsible to help in resolving denials and claim issues from all carriers, including but not limited to Medicaid, Work Comp, Commercial and Medicare for both facility and professional claims in a timely manner.
  • Responsible for identifying and reporting payment as well as billing issues and trends, including denials to immediate management.
  • Responsible for ensuring that timelines are being met.
  • May be responsible for posting and delivering internal mail or working other duties as assigned by the Supervisor, Manager or Director.
  • May eventually take on other duties as needed.

Qualifications

  • HS diploma or GED with Associates or Bachelors preferred.
  • Hospital medical billing experience required (2-5 years).
  • Must have previous experience working with, and effectively communicating with, health insurance and have working knowledge of ICD10 and CPT/HCPC.
  • Must have knowledge working with various third party payers including Medicare and Medicaid.
  • Experience with Microsoft Word and Excel.
  • Excellent customer and clerical experience needed.
  • Candidate must be able to multi-task while being detail oriented and have computer skills with at least 40 wpm.
  • Must be team oriented but able to work independently.
  • Job can require long periods of standing and walking as well as repetitive standing and sitting.
  • Additional preferred qualifications: Medical terminology, fluently bi-lingual