Patient Account Rep II - Physician Billing Office
Company: Catholic Health Initiatives
Location: Des Moines
Posted on: February 16, 2020
Patient Account Rep II - Physician Billing OfficeLocation: DES
MOINES, IOWA, UNITED STATESNew Requisition #: 2020-R0274249Post
Date: 8 hours agoPosition Type: RegularScheduled Hours per 2 week
Pay Period: 80Primary Location: IA > DES MOINES > MERCY
MEDICAL CENTERGENERAL SUMMARY:Adhere to corporate policies and
procedures as dictated by the specific job. Ability to interpret
explanation of benefits and correspondence from multiple payers.
Contact payers, patients, or clinics to resolve claim issues. Work
accounts as dictated by the specific job. Is knowledgeable with
insurance carriers policies and procedures. Adhere to all
productivity expectations and quality assurance standards. Provide
excellent customer service consistent with Mercys philosophy and
guidelines.ESSENTIAL FUNCTIONS:Follow-up Responsible for reviewing,
correcting and filing unpaid or previously adjudicated claims as
assigned Contacts insurance carriers, patients, and clinics to
resolve claim issues. Participates in recognizing denial trends and
provides feedback to managerCredit Balance (Insurance): Research
and resolve all insurance/business overpayments Maintain knowledge
of payment posting and follow-up processes Review and respond to
carrier correspondence requesting refundsCredit Balance (Patient):
Research and resolve all patient credit balances Communicate with
guarantors and patients regarding questions related to patient
refunds. Works unassigned payment queues and reports.Cash/Zero Pay
Posting Responsible for the posting of all assigned cash payments,
adjustments and remark codes, Reconciles and balances all batches.
Contacts payers to resolve issues necessary in order to reconcile,
apply payments, and bring variances to resolution.Customer Service:
Manages large amount of incoming calls and assists walk in
customers Handles customer complaints, provides appropriate
solutions within time limits, and follows up to ensure resolution.
Follows communication procedures, guidelines and
policies.Collections: Reviews and moves accounts through the
pre-collection process before placing with collection agency
Handles inbound and outbound collection calls. Is responsible for
all bad address and legal correspondence, probates, and
bankruptcyFinancial Assistance: Reviews all applications to
determine if the account qualifies for charity Is knowledgeable and
adheres to the CHI Financial Assistance policyMINIMUM KNOWLEDGE,
SKILLS AND ABILITIES REQUIRED :
- High school diploma or GED required.
- One year experience in accounts receivable, banking, or office
- A minimum of one year current experience of CPT, ICD-10, and
HCFA 1500 preferred.
- Successful completion of a medical terminology class
- One year 10 key experience preferred.
- Demonstrates written, verbal, and nonverbal communication that
is consistent with the Mercy Mission, Values and I Will Statements
to all patients, families, visitors, medical staff, colleagues,
vendors and other internal and external customers.
- Must be a self- started and demonstrate the ability to work
independently by making appropriate decisions according to the
organizational and departmental guidelines that fall within the
scope of the position.
- Demonstrates the ability to understand and effectively utilize
a highly complex billing system(s).
- Maintains current knowledge of all Federal, State and
compliance regulations related to billing and insurance
- Demonstrates an understanding of HCFA 1500 claim forms, CPT,
ICD.9 and HCPCS codes specific to insurance carrier requirements
- Requisition ID: 2020-R0274249
- Schedule: Full-time
- Market: Mercy Medical Center About UsWe are excited to share
that CHI was named as one of Americas Best Employers 2019, by
Forbes. Clickhereto learn more.Chances are, youre here because
youre looking for a career offering greater opportunity, challenge
and fulfillment. Were confident youll find all three at CHI. As one
of the nations largest nonprofit health systems, we offer a wealth
of careers across more than 101 hospitals in 18 states. Our
faith-based health system welcomes you to share in our mission of
building healthier communities, whether as a surgeon in the
operating room or an administrator in a conference room. When you
work in a supportive environment with like-minded professionals,
wonderful things happen. Learn MoreEqual Opportunity
EmploymentConsistent with our Core Values, Catholic Health
Initiatives employers are EEO/AA/M/F/Vets/Disabled Employers.
Qualified applications will receive consideration for employment
without regard to their race, color, religion, national origin,
sex, sexual orientation, gender identification, protected veteran
status, disability or any other legally protected
Keywords: Catholic Health Initiatives, Des Moines , Patient Account Rep II - Physician Billing Office, Administration, Clerical , Des Moines, Iowa
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