Patient Account Representative

4 weeks ago

Helena Montana, Lewis and Clark County, MT, United States The Staff Pad Full time

Summary:

The Staff Pad is honored to partner with a non-profit healthcare system in Helena, Montana with superior care and a hometown commitment to be the gold standard for health care in Montana. We are in search of a Patient Account Representative to join their team.

Responsibilities

  1. Performs pre-billing and billing functions to insure successful outcome of claim submission and payment.
  2. Follows all billing and regulatory guidelines, per insurance carrier, to insure facility compliance.
  3. Collaborates with all Team Members within SPH to insure an accurate and timely billing.
  4. Collect outstanding insurance company balances as quickly as possible by applying collection best practices as defined by Leadership
  5. Utilize various A/R reports to target aged balances for collection to meet and maintain performance goals.
  6. Evaluate partial payments to determine if further reimbursement is valid
  7. Compose technical denial arguments for reconsideration, including both written and telephonically
  8. Overcome objections that prevent payment of the claim and gain commitment for payment through concise and effective appeal argument
  9. Escalate exhausted appeal efforts to Leadership
  10. Submits retro authorization to insurance within insurance carrier guidelines
  11. Researches and takes necessary action to follow up on unpaid claims using ATB’s and/or assigned work lists
  12. Works pending claims in the CMS Direct Data Entry software (DDE) and SPH claims Clearinghouse
  13. Analyses insurance payments received to verify account was paid per contract, if not, contacts insurance to reprocess
  14. Use effective documentation standards that support a strong historical record of actions taken on the account
  15. Reviews and follows through on credit balances through take back initiation, refund initiation, and/or payment re-application.
  16. Reports Medicare credits quarterly to Medicare on appropriate form and supplies all supporting documentation
  17. Logs and adjusts all appropriate Medicare bad debt cancels so they can be reported on year-end financial reports.
  18. Works patient and insurance correspondence timely. Respond and document in account and scan documents into patient account for future reference.
  19. Response to all queries timely to insure Gold Standard Customer Service
  20. Role requires adherence to quality assurance guidelines as well as established productivity standards to support the work unit’s performance expectations

Qualifications

KNOWLEDGE/EXPERIENCE:

  • Previous work experience in insurance billing regulations and understanding insurance contracts preferred but not mandatory
  • Knowledge of state and federal regulations as they relate to the billing process preferred but not mandatory
  • Proficient keyboard/ 10 key skills and working knowledge of computers required.
  • Good verbal and written communication skills.
  • Strong data entry, ten key skills and working knowledge of computer required.
  • Exceptional customer service and interpersonal communication skills.
  • Proficient in examining documents for accuracy and completeness.
  • Ability to multitask and manage time effectively.
  • Ability to grasp, retain, and apply new regulations
  • Mathematical, organization skill and business correspondence skills.
  • Basic knowledge in downloading/creating spreadsheets in Microsoft Excel

EDUCATION: High School diploma or GED required. Completes Patient Financial Services I training within first 5 month




PandoLogic. Category:Healthcare, Keywords:Medical Records Analyst, Location:Helena, MT-59604

  • Licensed Practical Nurse

    6 months ago

    Helena, Montana, 59604, Lewis and Clark County, MT, United States The Staff Pad Full time

    LPN – FTHelena, Montana Schedule & Comp:· Full-time & Part-time Options, Multiple Shifts Available Summary:The Staff Pad is honored to partnered with a non-profit healthcare system in Helena, Montana with superior care and a hometown commitment to be the gold standard for health care in Montana This position will provide direct and indirect...

  • Registered Nurse

    6 months ago

    Helena, Montana, 59604, Lewis and Clark County, MT, United States The Staff Pad Full time

    Medical Unit RN - Nights Helena, Montana Schedule & Comp:· Full-time & Part-time Options, Multiple Shifts Available Summary:The Staff Pad is honored to partnered with a non-profit healthcare system in Helena, Montana with superior care and a hometown commitment to be the gold standard for health care in Montana This position demonstrates knowledge...

  • Certified Medical Assistant

    3 months ago

    Helena, Montana, 59604, Lewis and Clark County, MT, United States The Staff Pad Full time

    Certified Medical Assistant (CMA) Helena, Montana Schedule: Full-time, Day Shift Summary: The Staff Pad is honored to partner with a non-profit healthcare system in Helena, Montana with superior care and a hometown commitment to be the gold standard for health care in Montana This position is responsible to provide general direct and indirect patient care...

  • Clinical Lab Operations Manager

    4 months ago

    Helena, Montana, 59604, Lewis and Clark County, MT, United States The Staff Pad Full time

    The Staff Pad is honored to partner with a non-profit healthcare system in Helena, Montana, committed to superior care and setting the gold standard for healthcare in Montana.Laboratory Services Operations ManagerOverview: Reporting to the Director of Laboratory Services, the Laboratory Services Operations Manager oversees the daily operations of the...

  • Travel Nurse RN

    1 week ago

    Helena, Montana, Lewis and Clark County, MT, United States ICONMA, L.L.C. Full time

    Within ICONMA's Healthcare and Clinical division, we offer more than just a job; we offer you a path to a rewarding career. Our team is comprised of highly specialized recruitment professionals who are passionate about the healthcare and clinical industry. We're not just recruiters; we're your advocates. Specialty: Registered Nurse - Dialysis...

  • Retail Sales Representative

    1 month ago

    Billings, Montana, 59101, Yellowstone County, MT, United States Patterson Full time

    Patterson isn't just a place to work, it's a partner that cares about your success.One of the distinguishing marks of our company is the talented people who embrace the people-first, always advancing, and results-driven culture. Professional growth abounds in this motivating environment. We value the diverse talents and experiences our employees...

  • Travel Nurse RN

    1 week ago

    Missoula, Montana, Missoula County, MT, United States ICONMA, L.L.C. Full time

    Within ICONMA's Healthcare and Clinical division, we offer more than just a job; we offer you a path to a rewarding career. Our team is comprised of highly specialized recruitment professionals who are passionate about the healthcare and clinical industry. We're not just recruiters; we're your advocates. Specialty: Dialysis Facility Type: Home...

  • Travel Nurse RN

    1 week ago

    Dillon, Montana, Beaverhead County, MT, United States ICONMA, L.L.C. Full time

    Within ICONMA's Healthcare and Clinical division, we offer more than just a job; we offer you a path to a rewarding career. Our team is comprised of highly specialized recruitment professionals who are passionate about the healthcare and clinical industry. We're not just recruiters; we're your advocates. Job Title:Med/Surg RN Specialty: Nursing ...

  • Travel Nurse RN

    1 week ago

    Sidney, Montana, Richland County, MT, United States ICONMA, L.L.C. Full time

    Within ICONMA's Healthcare and Clinical division, we offer more than just a job; we offer you a path to a rewarding career. Our team is comprised of highly specialized recruitment professionals who are passionate about the healthcare and clinical industry. We're not just recruiters; we're your advocates. Job Title:Labor and...

  • Travel Nurse RN

    1 week ago

    Sidney, Montana, Richland County, MT, United States ICONMA, L.L.C. Full time

    Within ICONMA's Healthcare and Clinical division, we offer more than just a job; we offer you a path to a rewarding career. Our team is comprised of highly specialized recruitment professionals who are passionate about the healthcare and clinical industry. We're not just recruiters; we're your advocates. Job Title: Labor and...

  • Customer Service Rep

    1 week ago

    Great Falls, Montana, 59404, Cascade County, MT, United States Patterson Full time

    Patterson isn't just a place to work, it's a partner that cares about your success.One of the distinguishing marks of our company is the talented people who embrace the people-first, always advancing, and results-driven culture. Professional growth abounds in this motivating environment. We value the diverse talents and experiences our employees...

  • Controls Systems Tech I

    1 week ago

    Bozeman, Montana, 59772, Gallatin County, MT, United States Johnson Controls Full time

    Be part of the future! We are one team, dedicated to working collaboratively to create purposeful solutions that propel the world forward. We hope you will join our diverse team of top people – you bring your talent, and we’ll give you the space and opportunities to grow and succeed. We are committed to making a difference. What we offer:Competitive...

  • Travel Nurse RN

    1 week ago

    Great Falls, Montana, Cascade County, MT, United States ICONMA, L.L.C. Full time

    Our Client, a Healthcare Company, is looking for Emergency Room RN for their Great Falls, MT location Within ICONMA's Healthcare and Clinical division, we offer more than just a job; we offer you a path to a rewarding career. Our team is comprised of highly specialized recruitment professionals who are passionate about the healthcare and clinical...

  • Registered Nurse

    1 week ago

    Great Falls, Montana, 59405, Cascade County, MT, United States Great Falls Clinic Hospital Full time

    **SIGN ON BONUS AVAILABLE! UP TO $10,000.00 FOR RETENTION BONUS!** *External candidates only. Retention Bonus amount varies based on years of experience.* At the Great Falls Clinic Hospital, we pride ourselves on providing high quality care and exceptional service to our patients. Here you will find excellent nurse to patient ratios. This allows us to...

  • Dialysis Clinical Manager Registered Nurse

    4 months ago

    Butte, Montana, 59701, Silver Bow County, MT, United States Fresenius Medical Care Full time

    POSITION FEATURES:Relocation Assistance and/or Sign On Bonus EligibleAbout this role: As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. As the facility leader, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and...

  • Registered Nurse

    1 week ago

    Saint Helena, Nebraska, 68774, Cedar County, NE, United States Avera Sacred Heart Hospital Full time

    Join the RN Nursing team at Avera! Love Where You Work: Work at Avera where current employees rate their satisfaction at 94%. Join a team where the career opportunities are endless. Culture: Be part of a multidisciplinary team built on teamwork, with compassion and the goal of Moving Health Forward for you and our patients. Work where you...

  • Medical Laboratory Technician

    6 days ago

    Saint Helena, Nebraska, 68774, Cedar County, NE, United States Avera Sacred Heart Hospital Full time

    Join the team at Avera! Award Winning Health Care: Avera has been named among the nation’s 15 Top Health Systems, Forbes list of America’s Best-in-State Employers and Level 10 Most Wired Health Care Organization by CHIME. Culture: Be part of a multidisciplinary team built on teamwork, with compassion and the goal of Moving Health Forward for...

  • Medical Laboratory Technician

    1 week ago

    Saint Helena, Nebraska, 68774, Cedar County, NE, United States Avera Sacred Heart Hospital Full time

    Join the team at Avera! Award Winning Health Care: Avera has been named among the nation’s 15 Top Health Systems, Forbes list of America’s Best-in-State Employers and Level 10 Most Wired Health Care Organization by CHIME. Culture: Be part of a multidisciplinary team built on teamwork, with compassion and the goal of Moving Health Forward for...

  • Medical Laboratory Scientist

    1 week ago

    Saint Helena, Nebraska, 68774, Cedar County, NE, United States Avera Sacred Heart Hospital Full time

    Join the team at Avera! Award Winning Health Care: Avera has been named among the nation’s 15 Top Health Systems, Forbes list of America’s Best-in-State Employers and Level 10 Most Wired Health Care Organization by CHIME. Culture: Be part of a multidisciplinary team built on teamwork, with compassion and the goal of Moving Health Forward for...

  • Medical Laboratory Scientist

    6 days ago

    Saint Helena, Nebraska, 68774, Cedar County, NE, United States Avera Sacred Heart Hospital Full time

    Join the team at Avera! Award Winning Health Care: Avera has been named among the nation’s 15 Top Health Systems, Forbes list of America’s Best-in-State Employers and Level 10 Most Wired Health Care Organization by CHIME. Culture: Be part of a multidisciplinary team built on teamwork, with compassion and the goal of Moving Health Forward for...