Patient Accounting Representative II

Posted 31ds ago

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Job Description

Patient Accounting Representative managing billing inquiries and insurance follow-ups in a healthcare setting. Collaborating with study teams for accurate financial processing and patient communication.

Responsibilities:

  • Reviews Research related charges, directing charges to the proper responsible financial payer source.
  • Applies billing rules to research related charges billable to third-party health insurance payers based on CMS Claims Processing guidelines for Research Services.
  • Invoices study billable services to the correct study and applying the standard applicable discount.
  • Assists Study teams and the CTO in understanding of monthly invoices, answering questions and making corrections of any identified errors.
  • Follows up with Study Groups on outstanding sturdy related billing and balances owed by the study.
  • Assists with traditional follow up for Claims handled in the "normal" insurance billing/follow-up processes.
  • Receives and resolves patient billing questions and complaints in a compassionate, courteous, professional and timely manner.
  • Takes actions to resolve issues such as changing insurance, re-filing claims, calling insurance companies or answering questions.
  • Documents actions taken as directed by department policy.
  • Works closely with collection agencies to assure that they receive updated information on accounts.
  • Provides input and assists with implementing departmental planning and process improvements.
  • Demonstrates the ability to effectively communicate with patients and insurance companies regarding sensitive financial matters.

Requirements:

  • High School Graduate
  • 2 or more years of experience in professional billing insurance follow-up, customer service, claims processing, corrections, or billing.
  • Associate Degree in a related field preferred
  • 1 or more years of experience in Epic.

Benefits:

  • Health insurance
  • Professional development opportunities

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