Patient Accounting Representative

2 weeks ago


Huntington, United States Marshall Health Full time
Job Responsibilities:

  • Reviews and processes refund requests.
  • Utilizes the necessary electronic and manual systems to identify and capture source documentation needed for the coding and generation of provider charges/claims.
  • Performs the data entry role for all necessary billing and claims related functions including, but not limited to charge entry and payment posting.
  • Answers phone calls and/or inquiries from patients, insurance carriers or other parties to assist in the submission, payment or clarification of claims or billing related issues.
  • Carries out routine requests for information from any number of sources such as the practice management system, archived or scanned billing documents, or supporting documentation for prior charges.
  • Provides various reports, both monthly and ad-hoc, as defined and requested utilized either the practice management system or an available external reporting solution.
  • Performs the precertification process for scheduled procedures as necessary, including communication of any balances due to the patient.
  • Works with Corporate and Department management to develop, maintain, and follow policies and procedures relating to and in support of the Department's and Corporation's Compliance Program for Professional Fee Reimbursement.
  • Performs other duties as assigned or requested.

Education: High school diploma or GED.

Experience: Minimum of one year billing experience in a health care organization, with a preference toward candidates with experience and knowledge of the claim denial/accounts receivable process. Working knowledge of Cerner Practice Management software is a plus.

Internal applicants must call HR at ext. 11653 to determine eligibility before applying.
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