PATIENT ACCOUNT REP I

2 weeks ago
Requisition ID
2017-6699
# of Openings
1
Department
PATIENT FINANCIAL SERVICES
Baptist Business Operations Center
Pensacola
Category (Portal Searching)
Business Office
Position Type
Full-Time
Schedule
Day Shift
Schedule Details
Monday - Friday 8:00am - 5:00pm

Overview

The Patient Account Rep I is responsible for various tasks in the Accounts Receivables reconciliation process including but not limited to;  examining, correcting and consistently updating  Patient Health Information to ensure accurate  insurance payment/follow-up; applying appropriate contractual allowances; resolving patient and insurance carrier inquiries; using on-line systems provided by multiple payers to verify eligibility and benefits and checking claim status;  make telephone calls to the payer to ensure payment on submitted claims, maintain appropriate/ consistent documentation on accounts worked; apply proper account management principals to accounts to ensure accurate follow up; identify non-payment trends by payer and notify management; uses worklist software to record activity on accounts worked and reviews worklist productivity reports. 

 

 

The person in this position works under general supervision, is responsible for various shifts, may be subject to over 40 hours per week and/or callback as required, and may also be required to remain on campus immediately before, during, and after severe weather and/or disasters.

Qualifications

  • High School Diploma or General Education Degree Required and one of following is preferred: Bachelor’s Degree OR Post High School “2 year” Certificate in Healthcare Business or General Business with Financial Focus OR Current Professional or Technical Certification from HFMA, AAHAM or NAHAM
  • One - Two years experience in a hospital business office, physician’s office, or other health care setting preferred.
  • Knowledge of medical terminology; ICD -9/CPT/HCPCS coding, UB04/1500 billing requirements, and third party reimbursement practices preferred. Must have the skills/ability to bill both electronic and paper claims.  Must be able to analyze, problem solve and use good judgment when resolving assigned accounts. Must have the ability to understand and organize multiple Managed Care contracts.
  • Must have the ability to communicate effectively, both written and orally, when in contact with insurance companies, third party payers and customers. 
  • Must have the ability to manage/maintain all assigned accounts in a timely manner, in accordance with hospital polices and procedures, with a must that productivity expectations and goals are met on a daily/weekly/monthly basis. Knowledgeable regarding the web based programs offered by multiple payers for Eligibility and Benefits verification and claims status. Must be able to use a computer, calculator, fax, copier and other office tools needed to perform daily job duties. Must have good team member skills to encourage and foster both individual and team growth.  Experience with McKesson HealthQuest, EC2000 or other HIS and Claims Editing software system preferred

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