Patient Account Representative
3 weeks ago
Williamson Health is seeking a skilled Patient Account Representative to join our team. This role is responsible for billing and follow-up on accounts for services rendered at our health system.
Key Responsibilities- Billing and follow-up on accounts for services rendered at Williamson Health
- Maximizing full payment potential of each claim from all insurance carriers in a timely and accurate manner
- Serving as a liaison between patients and insurance carriers
- Working with all departments in the hospital and physician offices to ensure proper charges, adjustments, and codes are processed
- Handling daily billing reports, including the Late Charge report, 3-day Prior report, and Same Day Service report
- Filling in for the EMS Coordinator as needed
- High school graduate or equivalent
- Hospital or physician billing experience
- PC and calculator experience
- Good communication skills to discuss account financials with insurance carriers and patients
- Prior experience in a hospital setting or related area
- Meditech System
- SSI Electronic Billing System
- SSI Electronic System for RA Print
- Valco System
- Passport System
- Blue Cross DDE System
- Excel
- Word
- PC
- Printers
- Fax
- Copier
This role is based in the Business Office and requires sitting for prolonged periods of time, viewing the computer screen, and using repetitive motions. A clear, understandable telephone voice is also required.
Performance Standards- Utilizing SSI Electronic software to accurately process all payer accounts assigned by the system daily
- Processing all payer paper claims when necessary
- Comparing SSI electronic claims against Meditech claims to resolve discrepancies and prevent denial
- Utilizing Passport and various payer websites to access online information
- Analyzing EOBs and remittances for secondary insurance filing and determining patient liability or secondary payer amount
- Communicating denials with various departments and ensuring timely response/resolution
- Completing reviews of assigned accounts using ATB reports and/or Collector Desktop lists
- Conversing with insurance payers and documenting discussions in Meditech
- Answering patient calls regarding billing and account balances
- Re-queuing claim forms and itemized bills for all payers as needed
- Handling and prioritizing multiple tasks
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