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Patient Account Rep III

Company: Common Spirit
Location: Grimes
Posted on: January 16, 2022

Job Description:

Overview

CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. & from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.

Responsibilities

ESSENTIAL FUNCTIONS:

Follow Up

* Ability to utilize high level thinking and problem solving to bring complex accounts to resolution.
* Maintain an expert working knowledge of rules and regulations for team workflow.
* Provide new and recurring training to Billing staff.
* Assist staff with questions.
* Work includes cross coverage in other areas of department as needed.
* Participates in performance improvement projects and activities as needed.
* Work includes all other miscellaneous office duties/projects as assigned.
* Work hours may vary throughout the month/year as required based on scope of the position.

Qualifications

* High school diploma or GED required.
* Two years experience in a physician billing office or central billing office is required
* Working knowledge of CPT, ICD.9, HCFA 1500, and explanation of benefits required.
* Successful completion of a medical terminology class 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 as required based on the scope of the position.
* Demonstrates an understanding of HCFA 1500 claim forms, CPT, ICD.9 and HCPCS codes specific to insurance carrier requirements as required based on scope of the position.

Keywords: Common Spirit, Des Moines , Patient Account Rep III, Other , Grimes, Iowa

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