Patient Accounts II Coordinator

5 days ago


Houston, Texas, United States Nexus Health Systems Full time
Job Title: Patient Accounts II Coordinator

At Nexus Health Systems, we are seeking a highly skilled and detail-oriented Patient Accounts II Coordinator to join our Business Office team. As a key member of our team, you will play a critical role in ensuring the smooth operation of our patient accounts process.

Key Responsibilities:
  • Respond to incoming telephone calls and correspondence, providing excellent customer service and resolving issues in a timely manner.
  • Verify and confirm patient financial folders, ensuring accuracy and completeness of billing information.
  • Communicate with internal and external stakeholders to obtain additional patient information, facilitating timely and accurate collections.
  • Confirm claims were billed and received, and ensure patient financial folders are assembled and maintained sequentially.
  • Request rebill claims as necessary, providing detailed information to billers to ensure accurate and timely submission.
  • Pursue unpaid claims, working to resolve issues and collect 100% of total charges.
  • Document payment, adjustment, and patient responsibility daily, ensuring accurate and timely reporting.
  • Submit adjustments within 24 hours of receipt of posting payments or receiving EOBs.
  • Document collection efforts taken on each account billed, noting all actions taken.
  • Prepare and summarize accounts actions for accounts aged 90+ for monthly CEO AR call.
  • Respond to correspondence within 24 hours from the date of receipt.
  • Communicate with facility personnel to coordinate patient documentation required to appeal or rectify payments.
  • Forward denial correspondence to the appropriate staff to assist with appeals.
  • File all bills, appeals, and communication to each patient/claim appropriately in the patient chart.
  • Identify credit balances monthly and prepare adjustments to refund appropriate credits before the end of each month for Federal and State-funded agencies.
  • Credit balances on non-Federal or State Funded claims are prepared on the adjustment sheets and forwarded to Refund Pending, waiting for refund requests from payers.
  • Work accounts assigned on aging twice per month, following up every 7-14 days as necessary.
  • Pull paid accounts monthly from patient files to box and store, confirming the file is complete and in order before boxing.
  • Identify any internal/external changes, processes, procedures, etc. that may create reimbursement issues.
  • Assist other CBO employees as necessary.
Requirements:
  • A high school diploma is required.
  • One to two years of college preferred.
  • Minimum of one (1) year of experience in a hospital business office setting, or at least one year of experience in the medical billing/collection field.


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