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Patient Account Representative/Physician & Hospital billing

Posted: May 24, 2019

  • Category Patient Financial Services
  • Department PFS
  • Schedule Full-time
  • Shift Mon-Fri

Job Description

Responsible for billing claims, compiling itemized bills, verifying patient insurance coverage and computing patient insurance benefits to achieve maximum reimbursement. Works closely with the Patient Access, HIM and Physicians' office staff. Provides financial counseling to patients and families in accordance with the facility's policies. Assist patients/families with financial arrangements including financial assistant for qualified patients from outside agencies. Participates in performance improvement and CQI activities. Also responsible to help in resolving denials and claim issues from all carriers including, but not limited to, Medicaid, Commercial and Medicare for both facility and professional claims in a timely manner. This position will be responsible for identifying and reporting payment as well as billing issues and trends, including denials to immediate management. This position will be responsible ensuring that timelines are being met.

Qualifications

Hospital medical billing experience required with 2-5 years experience in hospital/physician billing as well as knowledge of ICD-10, CPT4 and HCPC. Must have knowledge with various third party payers including Medicare and Medicaid. Experience with Microsoft Word and Excel.

HS diploma or GED with Associates or Bachelors preferred. Excellent customer and clerical experience needed. Candidate must be able to mult-task while being detail oriented and have accurate computer skills with at least 40 wpm. Must be organized, dependable, team oriented but able to work independently. Additional preferred qualifications: Medical terminology and fluently bi-lingual.