Patient Accounting Rep II

Responsibilities

• Reviews and researches related charges, directing charges to the proper responsible financial payer source.
• Applies billing rules to research related charges billable to third-party health insurance payers based on CMS Claims Processing guidelines for Research Services.
• Invoices study billable services to the correct study and applies the standard applicable discount.
• Assists Study teams and the CTO in understanding of monthly invoices, answering questions, and making corrections of any identified errors.
• Follows up with Study Groups on outstanding study-related billing and balances owed by the study.
• Aids in traditional follow-up for Claims handled in the "normal" insurance billing/follow-up processes for Standard of Care services billed and followed up by the teams that handle insurance questions.
• Assists with resolving patient billing questions and complaints in a compassionate, courteous, professional, and timely manner.
• Takes actions to resolve issues such as changing insurance, re-filing claims, calling insurance companies, or answering questions.
• Documents actions taken as directed by department policy.
• Works closely with collection agencies to ensure they receive updated information on accounts.
• Provides input and assists with implementing departmental planning and process improvements.
• Demonstrates the ability to effectively communicate with patients and insurance companies regarding sensitive financial matters.

Requirements

• High School Graduate
• 1 or more years of experience in customer service, claims processing, corrections, or billing.
• Associates Degree in a related field of study from an accredited college or university (preferred)
• 1 or more years of experience in Epic (preferred)

Skills

• Ability to communicate effectively with patients and insurance companies regarding sensitive financial matters.