Patient Account Representative

3 weeks ago


Columbus, Ohio, United States Williamson Health Full time
Job Summary

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
Requirements
  • 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
Equipment and Skills
  • 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
Work Environment

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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