Patient Account Representative
3 weeks ago
Located in Franklin, Tennessee, Williamson Health is a leading healthcare system with a 203-bed hospital and over 40 providers at our Williamson Health Medical Group locations. We offer comprehensive in-patient and out-patient services, with more than 825 providers representing over 70 medical specialties and sub-specialties.
About the RoleThis position primarily involves billing and follow-up on accounts for services rendered at Williamson Health. The Patient Account Representative serves as a liaison between patients and insurance carriers, working with all departments in the hospital and physician's offices to ensure proper charges, adjustments, and codes are processed.
Responsibilities- Utilize SSI Electronic software to accurately process all payer accounts assigned by the system daily.
- Process all payer paper claims when necessary.
- Compare SSI electronic claims against Meditech claims to resolve discrepancies and prevent denial.
- Analyze EOBs and remittances for secondary insurance filing and determine patient liability or secondary payer amount.
- Communicate with insurance payers and document discussions in Meditech regarding unpaid claims.
- Answer patient calls regarding billing and account balances.
- Re-queue claim forms and itemized bills for all payers as needed after audit corrections.
- Handle and prioritize multiple tasks.
Formal Education/Training: High school graduate or equivalent, hospital or physician billing experience, PC and calculator experience, and good communication skills.
Workplace Experience: Prior experience in a hospital setting or related area is required.
Equipment and Skills Training: 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.
Physical Environment: Business Office.
Physical Effort: Requires sitting for prolonged periods, viewing the computer screen, and using repetitive motions.
Clear, understandable telephone voice required.
Performance StandardsThe Patient Account Representative is expected to meet the following performance standards:
- Utilize SSI Electronic software to accurately process all payer accounts assigned by the system daily.
- Process all payer paper claims when necessary.
- Compare SSI electronic claims against Meditech claims to resolve discrepancies and prevent denial.
- Analyze EOBs and remittances for secondary insurance filing and determine patient liability or secondary payer amount.
- Communicate with insurance payers and document discussions in Meditech regarding unpaid claims.
- Answer patient calls regarding billing and account balances.
- Re-queue claim forms and itemized bills for all payers as needed after audit corrections.
- Handle and prioritize multiple tasks.
Williamson Health is an equal-opportunity employer and a drug-free workplace.
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Antioch, Tennessee, United States Williamson Health Full timeJob Title: Patient Account RepresentativeLocated in Franklin, Tennessee, Williamson Health is a leading healthcare system with a 203-bed hospital and over 40 providers at our Williamson Health Medical Group locations. We offer comprehensive in-patient and out-patient services, with more than 825 providers representing over 70 medical specialties and...
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