Patient Account Representative, Hospital Biller (Remote)
About the position Responsibilities • Responsible for correcting, completing, and processing claims for all payer codes • Analyze and interpret that claims are accurately sent to insurance companies • Perform follow up with Medicare on unpaid insurance accounts identified through aging reports • Process appeals online or via paper submission • Assist with billing audit related information • Identify trends, and carrier issues relating to billing and reimbursements. Report findings to Team Lead and/or Supervisor. • Responsible for working A/R collection opportunities on unpaid claims through provided work queues. • Maintains required levels of productivity and quality while managing tasks to ensure timeliness of analytic report resolution. • Uses identified and known resources to accomplish collection related tasks, including but not limited to payor websites, provider service lines, analytics and correspondence. • Based on aging thresholds, obtains status of claim payment, payment amount and date of payment from insurance company (government or managed). • Works to identify payment resolution when an insurance company does not provide payment information for a claim. • Responsible for voiding invalid claims through payer portal, uploading to a payor portal or mailing requested documentation. • Responsible for filing an appeal according to department protocols and guidelines. • Responsible for filing reconsideration requests for insurance contractual underpayments. • Responsible for reviewing and submitting notification of overpayments (patient or insurance) according to department protocols and guidelines. • Participates in A/R clean-up projects or other projects identified. • Takes ownership of assignments; other duties as assigned or requested. • Communicates and listens effectively with internal and external customers; effectively understands instructions and shares knowledge. • Cooperates and interacts with supervisors, peers, other departments, and all customer groups demonstrating our commitment to 'service'. Requirements • High School Diploma or GED Equivalent (required) • Two (2) years previous hospital and/or physician business office experience (preferred) • Ability to communicate effectively verbal and written. • Ability to work independently. • General Accounting and bookkeeping skills. • Strong customer service and interpersonal skills. • Knowledge of medical billing and medical terminology. Nice-to-haves • One or more of the following systems or applications: Epic, SSI, Microsoft Excel and Microsoft Word (preferred)