Patient Account Rep II
Employment Type:
Full timeShift:
Description:
The Patient Account Rep II will possess the ability to interpret explanation of benefits and correspondence from multiple payers.
Contact payers, patients, or clinics to resolve claim issues.
Work accounts as dictated by the specific job.
Is knowledgeable with insurance carriers' policies and procedures.
Adhere to all productivity expectations and quality assurance standards.
Provide excellent customer service consistent with Mercy's philosophy and guidelines.
Sign-On Bonus of up to $500 available for qualifying applicants!What You'll Do:
Follow-up Responsible for reviewing, correcting and filing unpaid or previously adjudicated claims as assigned Contacts insurance carriers, patients, and clinics to resolve claim issues.
Participates in recognizing denial trends and provides feedback to manager Credit Balance (Insurance):
Research and resolve all insurance/business overpayments Maintain knowledge of payment posting and follow-up processes Review and respond to carrier correspondence requesting refunds Credit Balance (Patient):
Research and resolve all patient credit balances Communicate with guarantors and patients regarding questions related to patient refunds.
Works unassigned payment queues and reports.
Cash/Zero Pay Posting Responsible for the posting of all assigned cash payments, adjustments and remark codes, Reconciles and balances all batches.
Contacts payers to resolve issues necessary in order to reconcile, apply payments, and bring variances to resolution.
Customer Service:
Manages large amount of incoming calls and assists walk in customers Handles customer complaints, provides appropriate solutions within time limits, and follows up to ensure resolution Follows communication procedures, guidelines and policies.
Collections:
Reviews and moves accounts through the pre-collection process before placing with collection agency Handles inbound and outbound collection calls.
Is responsible for all bad address and legal correspondence, probates, and bankruptcy Financial Assistance:
Reviews all applications to determine if the account qualifies for charity Is knowledgeable and adheres to the CHI Financial Assistance policy MINIMUM KNOWLEDGE, SKILLS AND ABILITIES REQUIRED:
High school diploma or GED required.
One year experience in accounts receivable, banking, or office setting required.
Proof of completion of Mandatory Reporter abuse training specific to the population served within three (3) months of hire.
A minimum of one year current experience of CPT, ICD-10, and HCFA 1500 preferred.
Successful completion of a medical terminology class preferred.
One year 10 key experience preferred.
Demonstrates written, verbal, and nonverbal communication that is consistent with the Mercy Mission, Values and I Will Statements to all patients, families, visitors, medical staff, colleagues, vendors and other internal and external customers.
Must be a self- starter and demonstrate the ability to work independently by making appropriate decisions according to the organizational and departmental guidelines that fall within the scope of the position.
Demonstrates the ability to understand and effectively utilize a highly complex billing system(s).
Our Commitment to Diversity and InclusionTrinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states.
Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes.
We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.
Recommended Skills Accounts Receivable Balance Sheet Banking Services Billing Claim Processing Communication Estimated Salary: $20 to $28 per hour based on qualifications.
Full timeShift:
Description:
The Patient Account Rep II will possess the ability to interpret explanation of benefits and correspondence from multiple payers.
Contact payers, patients, or clinics to resolve claim issues.
Work accounts as dictated by the specific job.
Is knowledgeable with insurance carriers' policies and procedures.
Adhere to all productivity expectations and quality assurance standards.
Provide excellent customer service consistent with Mercy's philosophy and guidelines.
Sign-On Bonus of up to $500 available for qualifying applicants!What You'll Do:
Follow-up Responsible for reviewing, correcting and filing unpaid or previously adjudicated claims as assigned Contacts insurance carriers, patients, and clinics to resolve claim issues.
Participates in recognizing denial trends and provides feedback to manager Credit Balance (Insurance):
Research and resolve all insurance/business overpayments Maintain knowledge of payment posting and follow-up processes Review and respond to carrier correspondence requesting refunds Credit Balance (Patient):
Research and resolve all patient credit balances Communicate with guarantors and patients regarding questions related to patient refunds.
Works unassigned payment queues and reports.
Cash/Zero Pay Posting Responsible for the posting of all assigned cash payments, adjustments and remark codes, Reconciles and balances all batches.
Contacts payers to resolve issues necessary in order to reconcile, apply payments, and bring variances to resolution.
Customer Service:
Manages large amount of incoming calls and assists walk in customers Handles customer complaints, provides appropriate solutions within time limits, and follows up to ensure resolution Follows communication procedures, guidelines and policies.
Collections:
Reviews and moves accounts through the pre-collection process before placing with collection agency Handles inbound and outbound collection calls.
Is responsible for all bad address and legal correspondence, probates, and bankruptcy Financial Assistance:
Reviews all applications to determine if the account qualifies for charity Is knowledgeable and adheres to the CHI Financial Assistance policy MINIMUM KNOWLEDGE, SKILLS AND ABILITIES REQUIRED:
High school diploma or GED required.
One year experience in accounts receivable, banking, or office setting required.
Proof of completion of Mandatory Reporter abuse training specific to the population served within three (3) months of hire.
A minimum of one year current experience of CPT, ICD-10, and HCFA 1500 preferred.
Successful completion of a medical terminology class preferred.
One year 10 key experience preferred.
Demonstrates written, verbal, and nonverbal communication that is consistent with the Mercy Mission, Values and I Will Statements to all patients, families, visitors, medical staff, colleagues, vendors and other internal and external customers.
Must be a self- starter and demonstrate the ability to work independently by making appropriate decisions according to the organizational and departmental guidelines that fall within the scope of the position.
Demonstrates the ability to understand and effectively utilize a highly complex billing system(s).
Our Commitment to Diversity and InclusionTrinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states.
Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes.
We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.
Recommended Skills Accounts Receivable Balance Sheet Banking Services Billing Claim Processing Communication Estimated Salary: $20 to $28 per hour based on qualifications.
|
|
 | |
