Patient Account Representative

2 weeks ago


Omaha Nebraska, United States CommonSpirit Health Full time
Job Summary

We are seeking a highly skilled Patient Account Representative to join our team at CommonSpirit Health. As a key member of our revenue cycle team, you will be responsible for ensuring accurate and timely payment posting, as well as interpreting Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERAs) from insurance providers.

Key Responsibilities
  • Review and post payments and write-offs from insurance and patients
  • Apply knowledge of payer contracts and insurance reviews to gather additional information as necessary
  • Post and track electronic funds transfer (EFT) information and validate EFTs for accuracy
  • Follow write-off approval protocols for non-routine adjustments
  • Manually post non-electronic activities, including payments, adjustments, and zero payment denials
Requirements
  • Knowledge of debits and credits, including how to interpret and process electronic remittance advices
  • Knowledge of medical insurance, payer contract, CPT and ICD codes
  • Ability to understand and apply government/commercial insurance reimbursement terms, contractual and/or other adjustments and remittance advice details
  • Ability to enter data in accordance with established standards of timeliness, accuracy and productivity
  • Ability to troubleshoot, understand and/or adapt moderately complex oral and/or written instructions/guidelines to diverse or dissimilar situations
Preferred Qualifications

Experience with revenue cycle management and medical billing software is highly desirable.



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