Patient Accounts Representative- Patient Accounts (Cannistra)
Job Description
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.
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.
- Collaborates 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.
- Follows 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
A high school diploma is required. An associates degree is 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 customer service, required.
- One year experience working on a mainframe computer.
- Experience using Outlook, Word and Excel, required.
Physical Requirements
OCCASIONALLY: Lifting / Carrying: 0-10 lbs, Lifting / Carrying: 11-20 lbs, Pushing / Pulling: 0-25 lbs, Reaching above shoulder, Squat/kneel, Standing, Walking FREQUENTLY: Flexing/extending of neck, Patient Equipment, Peripheral vision CONTINUOUSLY: 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 Additional Physical Requirements Performed But Not Listed Above (not specified)
Benefits
(Not specified)
Pay
(Not specified)
Schedule
M-F (Day Shift). On-site during probation period until cleared to work remote. Employee must reside within Central Ohio area.