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Patient Account Representative
2 months ago
Williamson Health is seeking a highly skilled Patient Account Representative to join our team. As a Patient Account Representative, you will play a critical role in maximizing the full payment potential of each claim from commercial, government, and auto liability carriers in a timely and accurate manner.
Key Responsibilities- Follow up on accounts for services rendered at Williamson Health to ensure timely and accurate payment.
- Serve as a liaison between patients and insurance carriers to resolve billing and account balance issues.
- Work with various departments in the hospital to ensure proper charges, adjustments, and codes are processed by carriers and patients' balances are correct.
- Fill in for the Commercial/Government Biller as needed.
- High school graduate or equivalent.
- Hospital and 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.
- Working knowledge of DDE and EServices.
- Home Health, Hospice, and SNF follow-up experience.
Business Office
Physical EffortRequires sitting for prolonged periods of time, viewing the computer screen, and using repetitive motions. Must have a clear, understandable telephone voice.
Performance Standards- Utilize SSI Electronic software to accurately process Medicare and Medicare Managed Care accounts daily.
- Process Medicare and Medicare Managed Care paper claims when necessary.
- Compare SSI electronic claim against Meditech claim to resolve discrepancies and prevent denial.
- Utilize Medicare's Direct Data Entry system to access information such as claim status inquiry, eligibility, and daily Medicare check amounts.
- Analyze Medicare EOBs and remittances for secondary insurance filing and to determine patient liability or secondary payer amount.
- Utilize Outlook to communicate denials with various departments and Medicare Managed Care websites for necessary information.
- Complete review of assigned Medicare accounts using ATB reports and/or Collector Desktop list for account processing.
- Converse and document discussions with Medicare and Medicare Managed Care payers regarding unpaid claims.
- Answer patient calls regarding billing and account balances for all Medicare/MCR Managed Care accounts.
- Re-queue Medicare/MCR Managed Care claim forms and itemized bills as needed after audit corrections.
- Handle and prioritize multiple tasks.
- Complete any other job duties assigned by the department Director or Supervisor(s).
