Patient Accounting Representative II, Pat Fin Svc-Billing-Follow-Up, Full Time, First Shift

Responsibilities

• Communicates directly with payers to follow up on outstanding claims and achieve timely reimbursement.
• Monitors and reviews denial reason codes to identify root causes; works with payer contracting, other areas of the revenue cycle, and payer representatives, if necessary to resolve issues.
• Analyzes data to track collection efforts, identify trends, and provide team with updates and ideas for improvement.
• Maintains superior understanding of claims management, third-party payer guidelines, state and federal regulations, and all other functions of the job; educates and trains other follow-up staff as needed.
• Maintains compliance with HIPAA guidelines and ensures staff maintain discrepancy when handling patient information.
• Works independently to resolve claims issues.
• Participates in continuous quality improvement efforts on an ongoing basis, establishing goals with supervisors and tracking progress.
• Offers suggestions to improve individual and team productivity.
• Maintains a quality review score of 90% or greater on department quality reviews.
• Assists supervisor with identifying departmental areas in need of improvements.
• Takes responsibility for individual productivity standards.

Qualifications

• Minimum Required: 3 – 5 years of relevant experience in Revenue Cycle and/or Epic Revenue Cycle applications.
• Education: Minimum Required: High School Diploma or GED. Preferred: Associate degree.