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Patient Account Rep II - Physician Billing Office

Company: Mercy Medical Center
Location: Des Moines
Posted on: May 23, 2020

Job Description:

#missioncritical Position Type: RegularScheduled Hours per 2 week Pay Period: 80Primary Location: IA > DES MOINES > MERCY MEDICAL CENTER GENERAL 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 Mercy's 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 policy #missioncritical MINIMUM KNOWLEDGE, SKILLS AND ABILITIES REQUIRED: High school diploma or GED required. One year experience in accounts receivable, banking, or office setting required. A minimum of one year current experience of CPT, ICD-10, and HCFA 1500 preferred. Successful completion of a medical terminology class preferred. 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 preferred. Additional Information Requisition ID: 2020-R0272504 Schedule: Full-time Market: Mercy Medical Center SDL2017

Keywords: Mercy Medical Center, Des Moines , Patient Account Rep II - Physician Billing Office, Healthcare , Des Moines, Iowa

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