Luminis Health · 2 months ago
Patient Account Representative - Lead
Annapolis, MD
Full-time
Onsite
Mid, Senior Level
$20/hr - $25.13/hr
3+ years expLuminis Health is a healthcare organization seeking a Lead Patient Accounts Representative to work in their Professional Billing Office. The role involves providing support and education on billing processes, managing accounts, and serving as a resource for team members while ensuring efficient operations in the revenue cycle.
Health CareMedicalNon Profit
Responsibilities
Functions as a primary resource for questions and project related matters
Assists in furthering the development of the physician reimbursement team by setting the tone for the team’s work ethic, efficiency, proficiency, and professionalism
Presents to medium-large audiences regarding revenue cycle workflows and upgrades in various systems
Exhibits Proficient Use of EPIC System: Efficient utilization of and training on the billing system database to update facility file and patient demographic information; ability to edit a claim and send/receive claim notes in the billing system
Ability to fully train on and work all work queues
Competence with Insurance Issues: Demonstrated ability to post charges, payments, adjustments, and knows how to work undistributed payments
Understands claims overpayments, collections, and pre-bill/post-bill work queues
Possesses competency of medical coding knowledge
Demonstrates the ability to train on the processes
Serves as a payer liaison to streamline communication of policy updates and revisions to staff
Organizational Efficiency: Effectively maintains follow up account activity by ensuring the proper organization, time management, tracking, resolution, and documentation of all correspondence
Facilitates workflow for accounts receivable and claims submission
Reviews denials and accounts deemed uncollectible by Primary Billing Team staff
Recommends additional steps to prevent losses or determines account collectible, selects appropriate adjustment code for denial tracking and resolution
Immediately alerts department leadership to new or emerging trends in denials
Able to serve as a cross functional resource to our Customer Service, Revenue Integrity and Cash Operations Teams
Responsible for special projects assigned by Physician Reimbursement Supervisor and/or Physician Reimbursement Manager
Assists with training and onboarding of all new staff and does special projects as assigned by management
Reports metrics, trends to Physician Reimbursement Supervisor promptly
Works with Supervisory and Revenue Integrity teams to adapt and revise Standard Operating Procedures and Training Workflows
Qualification
Required
High School Diploma or equivalent (GED) required
Excellent interpersonal and communication skills
The ability to work collaboratively in a team setting as well as external and internal departments
Three or more years of experience in professional billing and or revenue cycle operations
Proficient in teaching and providing appropriate feedback
Highly organized, detail oriented and flexible, ability to re prioritize work, adapt to new processes timely
Functions as a primary resource for questions and project related matters
Assists in furthering the development of the physician reimbursement team by setting the tone for the team's work ethic, efficiency, proficiency, and professionalism
Exhibits Proficient Use of EPIC System: Efficient utilization of and training on the billing system database to update facility file and patient demographic information; ability to edit a claim and send/receive claim notes in the billing system
Ability to fully train on and work all work queues
Competence with Insurance Issues: Demonstrated ability to post charges, payments, adjustments, and knows how to work undistributed payments
Understands claims overpayments, collections, and pre-bill/post-bill work queues
Possesses competency of medical coding knowledge
Demonstrates the ability to train on the processes
Serves as a payer liaison to streamline communication of policy updates and revisions to staff
Effectively maintains follow up account activity by ensuring the proper organization, time management, tracking, resolution, and documentation of all correspondence
Facilitates workflow for accounts receivable and claims submission
Reviews denials and accounts deemed uncollectible by Primary Billing Team staff
Recommends additional steps to prevent losses or determines account collectible, selects appropriate adjustment code for denial tracking and resolution
Immediately alerts department leadership to new or emerging trends in denials
Able to serve as a cross functional resource to our Customer Service, Revenue Integrity and Cash Operations Teams
Responsible for special projects assigned by Physician Reimbursement Supervisor and/or Physician Reimbursement Manager
Assists with training and onboarding of all new staff and does special projects as assigned by management
Reports metrics, trends to Physician Reimbursement Supervisor promptly
Works with Supervisory and Revenue Integrity teams to adapt and revise Standard Operating Procedures and Training Workflows
Preferred
EPIC system experience preferred
Technical Medical Billing Coding certification preferred
Five plus years of billing experience including ICD-10, CPT/HCPCS coding and medical terminology
Experience in operating multi-line phone system, fax/copier/scanner and credit card machines
Ability to operate a PC efficiently and type at least 40 wpm
Must be able to sit, stand, lift, bend and move intermittently during work hours
Must be available Monday through Friday during normal business office hours
Must have the ability to stand for long periods of time
Must be able to effectively communicate in the English language written and verbally
Must have the capacity to work in an organized, independent manner, and be able to make good judgmental decisions
Must display a professional and courteous disposition and an ability to communicate well
Must have a neat clean and professional appearance. Business attire required at all times
Illustrates the ability to utilize Microsoft Office and/or Google Suites. Outlook email and navigate in the Word & Excel software applications
Experience and knowledge in overall claims processing and insurance follow up collections preferred in a health care institution or multiple physician practice shared services environment
Experience should encompass at least three different professional billing service specialties
Intermediate Microsoft Excel skills including ability to create formulas, pivot tables and perform v-lookups independently is preferred
Benefits
Medical, Dental, and Vision Insurance
Retirement Plan (with employer match for employees who work more than 1000 hours in a calendar year)
Paid Time Off
Tuition Assistance Benefits
Employee Referral Bonus Program
Paid Holidays, Disability, and Life/AD&D for full-time employees
Wellness Programs
Employee Assistance Programs and more
Company
Luminis Health
Luminis Health is a not for profit organization that provides exceptional health care services.
5001-10000 employees
Funding
Current Stage
Late StageLeadership Team
Amy Beales
Chief Human Resources Officer
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