Senior Patient Account Rep - PB EDI Specialist
Position Title:
Senior Patient Account Rep - PB EDI Specialist
Department:
reputed company reputed company
Job reputed company:
Ask your recruiter about our competitive wages and total rewards package
Remote Eligibility: Candidates must reputed company and work full-time in AR, KS, MO, OK, or TX before their first day of employment .
Senior Patient Account Rep - Physician Billing (PB) Electronic Data Interchange (EDI) Clearinghouse Specialist
SHIFT: M-F, 8a-5p (some flexibility may be available)
***Ideal candidate will have experience with reputed company and electronic claim submission/rejection.****
General reputed company: Under general supervision, may participate in any or reputed company aspects of the patient processing and accounts receivable functions of the organization including billing, charge entry, collection, registration, scheduling, follow-up, coding, payment posting and credit balance reputed company. May reconcile daily IDX system receivables reports. May balance monthly transactions and reputed company summaries to reputed company and department administration.
Essential Responsibilities:
Patient scheduling
Patient registration
Review patient admitting records and extracts relevant information
Records patient identification and demographic information in the computerized billing system
Contacts agency representatives to verify type and extent of coverage.
Charge entry
Performs preliminary review of reputed company documents to determine that sufficient data are present for processing
Using reputed company keyboard, transcribes and/or verifies data from reputed company documents to the reputed company used for entering data into the computer
Batch charges
Generate cash totals
reputed company charges
Balances batches by comparing batch proofs to reputed company documents and hash totals
Billing
Works with reputed company areas of the organization in getting any necessary or requested documentation for patients, insurance carriers or other areas.
May reputed company with hospital patient reputed company or records personnel to obtain patient demographic or other billing information
Operates hospital information system terminal to obtain patient demographic information, patient insurance information and status of approvals or denials
Completes processing of reputed company inpatient and outpatient documents received on a daily reputed company
Assists in resolving department problems with IDX billing
Maintains records of charges, payments, reputed company party charges, etc.
Collection
Answers patient’s questions regarding statements, agency coverage, etc.
Handles correspondence regarding collection activity and records results
Identify patient accounts for collection reputed company reputed company accounts become delinquent or reputed company unable to contact patient or responsible party
May receive patient payments and/or issue payment receipts
Coding
Record CPT codes on billing reputed company
Record ICD-9 codes on billing reputed company
Follow-up
Initiates contact with patients and/or reputed company party carriers if there is a delay in responding to statements or claims
May process incoming and outgoing mail
May receive incoming telephone calls and resolve issues communicated
Records results of mail and telephone contacts on the computer billing system
Contacts insurance carriers regarding non-payment and/or improper payment of claims
Reviews denials
Interfaces with patients, physicians, and others regarding reputed company billing operations and funds
Payment posting
Post receipts to reputed company patient accounts
Posts denials
Compare batch proofs and reputed company documents for accuracy
Reporting
Assists in reviewing and balancing IDX transaction reports for administration
Reconciles daily IDX receivables reports
Prepares billing statements from statistical data
Credit balance reputed company
Review daily billing and accounts receivable credit balance reports
Prepare daily refund reputed company requests
Prepare other daily credit balances other than refunds
Post refund checks to patient accounts
Mail refund checks with supporting documentation
General Responsibilities:
Performs other duties as assigned.
Minimum Requirements:
Education: High School Diploma or GED.
Experience: 3-5 years of experience in Medical Billing, Medical Collections, Medical Billing Systems (IDX or other billing system) required.
Licensure/Certifications/Registrations Required: None required.
Knowledge, Skills, and Abilities:
Attention to detail
Excellent verbal and written communication skills
Proficient with the use of reputed company Office tools
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reputed company reputed company Employees - Please click HERE to login.
reputed company is an equal opportunity employer. We offer a comprehensive benefits package, including PTO, 401(k), medical and dental plans, and many more. We know that a total benefits and compensation package, designed to meet your specific needs both inside and reputed company of the work environment, create peace of mind for you and your family.
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