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Patient Account Coordinator

1 month ago

Granite City, Illinois, United States Gateway Regional Medical Center Full time
Job Title: Patient Account Representative

We are Gateway Regional Medical Center, a leading healthcare provider dedicated to delivering exceptional patient care and services.

Job Summary:

As a Patient Account Representative, you will play a vital role in ensuring the accuracy and timeliness of patient accounts receivable. Your primary responsibilities will include insurance follow-up, credit balance review and resolution, and maintaining the hospital's accounts receivable as accurate as possible.

Key Responsibilities:
  • Insurance Follow-up: Contact insurance carriers to resolve outstanding balances and ensure timely processing of claims.
  • Credit Balance Process and Review: Review credit balance accounts for incorrect contractual adjustments and correct them as needed.
  • Respond to Insurance Carrier Correspondence: Reply to insurance carrier correspondence in a timely manner to avoid inappropriate recoupments.
  • Answer Incoming Calls: Resolve insurance issues in a timely manner and provide excellent customer service.
Requirements:
  • Working knowledge of HMO, PPO, Commercial, and Workers' Compensation reimbursement.
  • Working knowledge of Managed Care contract language and interpretation.
  • High School graduate or equivalent.
  • Minimum 1-year previous Commercial, HMO, PPO, and Workers Compensation billing and/or insurance follow-up experience.
What We Offer:

Gateway Regional Medical Center offers a competitive market pay and opportunities for bonus depending on great work performance. We also offer comprehensive employee benefits, including medical, dental, and vision insurance.