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Patient Accounts Coordinator II
2 months ago
Nexus Health Systems Ltd is seeking a highly organized and detail-oriented Patient Accounts Coordinator II to join our Central Business Office team. As a key member of our team, you will be responsible for handling incoming telephone calls, correspondence, and patient account documentation for accounts assigned aged 61+.
Key Responsibilities:
- Respond to telephone calls and route them to the appropriate staff member as needed.
- Confirm admission documentation and claim documentation accuracy compared to the assigned payer per contract guidelines.
- Communicate with internal and external stakeholders to collect timely and accurate information.
- Confirm claims were billed and received for assigned accounts.
- Assemble and maintain patient financial folders sequentially and confirm claims were billed and correspondence matches to the appropriate patient account.
- Request rebill claims as payers identify no claim on file or claim denied by providing appropriate requests to billers.
- Pursue 100% of total charges for claims submitted timely and accurately that remain unpaid past contract requirements.
- Confirm claims submitted electronically have been received with no rejections.
- Request claims rejected or not confirmed received from the biller immediately and provide information to ensure the claim is submitted correctly.
- Document payment, adjustment, and patient responsibility daily as EOBs are received or verified electronically.
- Submit adjustments within 24 hours of receipt of posting payments or receiving EOBs.
- Document collection efforts taken on each account billed for claims aged 60+ days.
- Work 35+ accounts from aging daily.
- 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.
- Work accounts assigned on aging twice per month and follow-up every 7-14 days, depending on how the claim was billed.
- 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.
